FARM III Draft RFP SF1442 Atch 6_L-2b Work Sample Cover Sheet - Subcontract.pdf

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FA910126RB011 FARM III Draft RFP
Solicitation number
FA910126RB011
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About this file

This is a template form for documenting subcontract work samples under the FARM III contract (FA9101-26-R-B011). The form serves as a cover sheet that offerors must complete to provide evidence of relevant subcontract experience. Part I requires identification information including the prime contractor name, subcontractor name (the offeror), contract number, task order number if applicable, customer office symbol and program name, total period of performance for the prime contract in MM/YYYY format, prime contract value, and a unique work sample identifier. Part II requires at least two current or most recent points of contact (POCs) for each work sample, with each POC providing name, title, agency/customer affiliation, phone number, and email address. These contacts should be program managers, contracting officers, contracting officer's representatives, or other customer representatives actively working the contract or most recently associated with it if concluded.

Part III provides a 900-character limit space for offerors to present a brief synopsis of the work sample, though this descriptive information will not be evaluated. The instructions clarify that offerors must reference the prime contract details rather than subcontract-specific values, and that work sample identifiers should follow a sequential format (e.g., WS-1, WS-2, through WS-20). This template is designed to standardize the submission of subcontract experience documentation and facilitate customer verification through direct POC contact.

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FARM III

FA9101-26-R-B011

RFP Attachment 6, L-2b

ATTACHMENT L-2b Work Sample Cover Sheet - Subcontract Effort

Fill out this form in accordance with the instructions provided at the end of this document.

PART I: WORK SAMPLE IDENTIFICATION

Prime Contractor Name:

Subcontractor Name:

Contract Number:

Order Number (if applicable):

Customer:

Total Period of Performance, Including Options: to

Contract / Order Value:

Work Sample Identifier:

PART II: WORK SAMPLE INFORMATION/POINTS OF CONTACT (POCs)

1. Program Manager / Contracting Officer / Contracting Officer’s Representative (COR) / Other Customer Representative

Name:

Title and Agency/Customer:

Phone:

Email:

2. Program Manager / Contracting Officer / COR / Other Customer Representative

Name:

Title and Agency/Customer:

Phone:

Email:

DRAFT

RFP Attachment 6, L-2b

PART III: PROJECT DECRIPTION (900 Character Limit)

RFP Attachment 6, L-2b

Instructions for Work Sample Cover Sheet - Subcontract Efforts

PART I: WORK SAMPLE IDENTIFICATION

Contractor Name: Enter the Contractor’s Name that performed as the Prime for this work sample.

Subcontractor Name: Enter the Offeror’s Name that performed as a Subcontractor on this work sample.

Contract Number: Enter the Contract Number associated with the Prime contract.

Order Number: Enter the Task Order Number, if applicable.

Customer: Enter the Office Symbol and Program Name this work sample supports.

Total Period of Performance, Including Options: Enter the period of performance for the Prime contract in MM/YYYY – MM/YYYY format. Do not use the period of performance for the subcontract.

Work Sample Value: Enter the final or most recent total contract value of the work sample. Do not use the value of the subcontract.

Work Sample Identifier: Enter a unique identifier for each of the provided work samples (e.g., WS-1, WS-2, WS-3, …, WS-20).

PART II: WORK SAMPLE INFORMATION/POCs Program Manager / Contracting Officer / COR / Other Customer Representative: Provide the contact information for POCs currently working the contract/task order or the most recent POCs if the contract has ended. Each Offeror shall provide at least two POCs for each work sample.

PART III: WORK SAMPLE DESCRIPTION (900 Character Limit) This space is provided to allow the Offeror to present a brief synopsis of the work sample. The information provided will not be evaluated.

Prime Contractor Name:
Subcontractor Name:
Contract Number:
Order Number if applicable:
Customer:
Contract Order Value:
Work Sample Identifier:
Title and AgencyCustomer:
Title and AgencyCustomer_2:
Period of Performance Start date:
Period of Performance End date:
POC 2 Phone:
Work Sample POC 1 Phone:
Work Sample POC 1 Name:
Work Sample POC 2 Name:
Work Sample POC 2 Email:
Work Sample POC 1 Email:
PART III PROJECT DECRIPTION:

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