FARM III RFP SF1442 Atch 6_L-2a Work Sample Cover Sheet - Prime.pdf
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- Attached to
- FA910126RB011 FARM III RFP
- Solicitation number
- FA910126RB011
About this file
This is a template form for submitting work sample cover sheets as part of the FARM III RFP (FA9101-26-R-B011), used to document prime contract efforts and relevant past performance examples.
The form consists of three primary sections. Part I requires identification of the work sample including the contractor name, contract number, order number (if applicable), customer/office symbol and program name, total period of performance with options, final or most recent contract value, and a unique work sample identifier (e.g., WS-1, WS-2). Part II mandates submission of points of contact information, requiring at least two customer representatives such as Program Managers, Contracting Officers, Contracting Officers' Representatives, or other customer representatives currently or most recently working the contract, along with their titles, agencies, phone numbers, and email addresses. Part III provides a 900-character space for offerors to include a brief synopsis of the work sample; this information is explicitly noted as not being evaluated. The instructions clarify that for joint venture work, the offeror name should be included in parentheses after the joint venture name. This template is designed to standardize the submission and verification of past performance work samples that demonstrate contractor capability and experience relevant to the FARM III solicitation.
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FARM III
FA9101-26-R-B011
RFP Attachment 6, L-2a
ATTACHMENT L-2a Work Sample Cover Sheet - Prime Contract Effort
Fill out this form in accordance with the instructions provided at the end of this document.
PART I: WORK SAMPLE IDENTIFICATION
Contractor Name:
Contract Number:
Order Number (if applicable):
Customer:
Total Period of Performance, Including Options: to
Work Sample 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:
RFP Attachment 6, L-2a
PART III: PROJECT DECRIPTION (900 Character Limit)
RFP Attachment 6, L-2a
Instructions for Work Sample Cover Sheet - Prime Contract Efforts
PART I: WORK SAMPLE IDENTIFICATION
Contractor Name: Enter the Contractor’s Name associated with this work sample. If the work was performed as part of a Joint Venture (JV), include Offeror name in parentheses after JV name.
Contract Number: Enter the Contract Number.
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 contract.
Work Sample Value: Enter the final or most recent total contract value of the work sample.
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.
| Contractor Name: |
| Contract Number: |
| Order Number if applicable: |
| Customer: |
| Work Sample Value: |
| Work Sample Identifier: |
| Name: |
| Title and AgencyCustomer: |
| Phone: |
| Email: |
| Name_2: |
| Title and AgencyCustomer_2: |
| Phone_2: |
| Email_2: |
| PART III PROJECT DECRIPTION 900 Character Limit 1: |
| Period of Performance Start: |
| Period of Performance End: |
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