FARM III RFP SF1442 Atch 6_L-2b Work Sample Cover Sheet - Subcontract.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 samples that demonstrate subcontract effort under the FARM III contract (FA9101-26-R-B011) RFP. The form is not evaluative in nature but serves as a standardized cover sheet for offerors to document their prior relevant experience as subcontractors.
The form consists of three parts. Part I requires identification information including the prime contractor name, subcontractor name (the offeror's company), contract number, task order number if applicable, customer office symbol and program name, total period of performance with options, the final contract value of the work sample, and a unique work sample identifier. Part II requests contact information for a minimum of two points of contact currently working or most recently working on the contract, including Program Managers, Contracting Officers, Contracting Officer's Representatives, or other customer representatives, with their names, titles, agencies, phone numbers, and email addresses. Part III provides a 900-character limit text box for offerors to submit a brief synopsis of the work sample, though this descriptive information will not be evaluated. The instructions clarify that the work sample value should reflect the total contract value, not the subcontract value, and that identifiers should follow a sequential format (e.g., WS-1, WS-2, WS-3).
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Text version
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
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:
Attachment 6, L-2b
PART III: PROJECT DECRIPTION (900 Character Limit)
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.
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. 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.
| Work Sample Identifier: |
| PART III PROJECT DECRIPTION 900 Character Limit 1: |
| Contractor Name: |
| Name: |
| Title and AgencyCustomer: |
| Phone: |
| Email: |
| Name_2: |
| Title and AgencyCustomer_2: |
| Subcontractor Name: |
| Contract Number: |
| Order Number if applicable: |
| Customer: |
| Period of Performance Start: |
| Period of Performance End: |
| Work Sample Value: |
| Phone_2: |
| Email_2: |
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