Attachment_05_Experience_Information_Sheet_18_September_2019.pdf

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Attached to
WPAFB 2020-2025 Multiple Award Construction Contract Federal contract opportunity
Solicitation number
FA860119RA043
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Wright Patterson Air Force Base

About this file

This document contains an experience information sheet template and details of a federal multiple award construction contract opportunity. The experience information sheet is to be completed by offerors and includes fields for listing relevant construction project details from the past five years, including location, completion date, final cost of over $500,000, and client references. The multiple award construction contract is a solicitation from the Air Force to establish a pool of contractors eligible to compete for individual task orders involving maintenance, repair, alteration, and new construction work at Wright-Patterson Air Force Base over the next five years. The contract type is indefinite-delivery indefinite-quantity and the Air Force intends to award up to twelve contracts under this solicitation.

Attachment 05 Experience Information Sheet

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Text version

RESPONSE TO SOLICITATION NUMBER: FA8601-19-R-A043

EXPERIENCE INFORMATION SHEET

PROJECT NO. _____, Page 1 Project Name and Location:

Experience:

1. The location that work was performed: ___________________________________

2. The day, month, and year work was completed; work must be ongoing or completed within the past five (5) years:

3. The final cost of this project, must be greater than US $500,000.00: US_________________________

4. Is this project more than 50% complete? ____ Yes ____ No

6. Provide the name, e-mail address, and phone number of the client you performed this work for.

Name:

E-mail:

Phone:

5. Provide detailed information of the construction work performed for the project listed.

FA8601-19-R-A043

Section J, Attachment 05

Experience Information Sheet

** May include an additional page if room is not sufficient to provide adequate project information answer.

RESPONSE TO SOLICITATION NUMBER: FA8601-19-R-A043

EXPERIENCE INFORMATION SHEET

PROJECT NO. _____, Page 2

Offeror: A contractor and/or company submitting a proposal for this solicitation.

Prime Contractor: A contractor that performed at least 20% of the work, and managed all other work for the project.

Joint Venture: More than one contractor with a legally binding agreement to work together.

6. Mark one of these selections:

Work was completed as the ____ Prime ___ Joint Venture

a. No additional information is required for work performed as the Prime other than what is on Page 1 of this form.

b. If work was as a Joint Venture, explain the relationship of the company, which company performed the work, and how the work performed and the relationship provides an added benefit for experience.

FA8601-19-R-A043

Section J, Attachment 05

Experience Information Sheet

EXPERIENCE INFORMATION SHEET PROJECT NO Page 1:
undefined:
Project Name and Location:
1 The location that work was performed:
2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 1:
2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 2:
3 The final cost of this project must be greater than US 50000000 US:
4 Is this project more than 50 complete:
Yes:
Experience 1 The location that work was performed 2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 3 The final cost of this project must be greater than US 50000000 US 4 Is this project more than 50 complete Yes No 6 Provide the name email address and phone number of the client you performed this work for Name Email Phone 5 Provide detailed information of the construction work performed for the project listed May include an additional page if room is not sufficient to provide adequate project information answerRow1:
Page 2:
Offeror A contractor andor company submitting a proposal for this solicitation Prime Contractor A contractor that performed at least 20 of the work and managed all other work for the project Joint Venture More than one contractor with a legally binding agreement to work together 6 Mark one of these selections Work was completed as the Prime Joint Venture a No additional information is required for work performed as the Prime other than what is on Page 1 of this form b If work was as a Joint Venture explain the relationship of the company which company performed the work and how the work performed and the relationship provides an added benefit for experience:
Text1:
Prime:

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