Attachment J.12.4

Relevant Experience Projects Supplemental Form Pool 2-Collection of Task Orders

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

GENERAL INSTRUCTIONS

1. Reference Section L.5.2 for complete instructions.

2. This attachment is to be used when submitting a “collection of task orders” as a Relevant Experience Project for Pool 2. This may be used up to two times. If submitting two “collection of task orders” for Pool 2, the “collection of task orders” shall be used in lieu of Relevant Experience Projects 5 and 6. If submitting one “collection of task orders” for Pool 2, the “collection of task orders” shall be used in lieu of Relevant Experience Project 6.

3. Offerors shall respond to all questions. To fill out this form, place the cursor in the highlighted area and begin typing.Some responses are in the form of a dropbox, click on the arrow and make the appropriate selection.

4. Once this attachment is complete, save it as a .pdf and name it in accordance with Section L.4.1.

GENERAL INFORMATION

Company Name: DUNS#:

Address:

SECTION I. “COLLECTION OF TASK ORDERS” RELEVANT EXPERIENCE PROJECT

1. What Relevant Experience Project is this for?

2. Is the Offeror utilizing resources from a parent organization, affiliate, division, and/or subsidiary, as prescribed in Section L.5.1.8, for this Relevant Experience Project?

3. Is the Offeror using experience from an existing or previous Joint Venture or partnership in accordance withL.5.1.9.2 and submitted Attachment J.11(Contractor Team Arrangement Form), for this Relevant Experience Project?

4. The Offeror submitted Attachment J.9 (Collection of Task Orders Form)?

5. What is the master contract or BPA number that the “collection of task orders” were issued against?

NOTE: In order to substantiate the contract or BPA number, the Offeror shall provide a scan of the award page of contract in the proposal submission.

6. List the task order numbers in the “collection of task orders” in the order that they were awarded:

Task Order Number 1: Task Order Number 4:

Task Order Number 2: Task Order Number 5:

Task Order Number 3: Task Order Number 6:

NOTE: In order to substantiate the task order number, the Offeror shall provide a scan of the award page of the task orders in the proposal submission.

7. Provide a primary and alternate reference for each task order: (Person who can verify all task order data - {i.e,Government Contracting Officer, Project/Program Manager, Contracting Officer Representative, Assessing Official, etc.}).

TASK ORDER 1

Primary Reference: Alternate Reference:

Name: Name:

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

Title: Title:

Agency or Customer: Agency or Customer:

Phone: Phone:

E-Mail: E-Mail:

TASK ORDER 2

Primary Reference: Alternate Reference:

Name: Name:

Title: Title:

Agency or Customer: Agency or Customer:

Phone: Phone:

E-Mail: E-Mail:

TASK ORDER 3

Primary Reference: Alternate Reference:

Name: Name:

Title: Title:

Agency or Customer: Agency or Customer:

Phone: Phone:

E-Mail: E-Mail:

TASK ORDER 4

Primary Reference: Alternate Reference:

Name: Name:

Title: Title:

Agency or Customer: Agency or Customer:

Phone: Phone:

E-Mail: E-Mail:

TASK ORDER 5

Primary Reference: Alternate Reference:

Name: Name:

Title: Title:

Agency or Customer: Agency or Customer:

Phone: Phone:

E-Mail: E-Mail:

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

TASK ORDER 6

Primary Reference: Alternate Reference:

Name: Name:

Title: Title:

Agency or Customer: Agency or Customer:

Phone: Phone:

E-Mail: E-Mail:

9. What NAICS Code, if any, was the master contract or BPA awarded under for this Relevant Experience Project?

10. If the Relevant Experience Project is under a Pool NAICS Code, select the method of substantiating the NAICS Code as prescribed in Section L.5.2.1.

11. Was the Relevant Experience Project performed for a Federal agency that awarded the contract, task order or purchase order in full accordance with the FAR as prescribed in Section L.5.2.4.1?

12. If the Offeror is taking credit for a Relevant Experience Project as a First-Tier Subcontractor, as prescribed in Section L.5.2.2, did the Offeror provide the document(s) that clearly identify both parties and forms the mutually binding legal relationship?

13. Does the Relevant Experience Project involve the performance and/or integration of at least two KSAs per Pool as prescribed in Section L.5.2.4.2?

Task Order 1: Task Order 4:

Task Order 2: Task Order 5:

Task Order 3: Task Order 6:

14. Explain for each task order how each Key Service Area claimed in Attachment J.5.2 (Self Scoring Worksheet SB Pool 2) is included in the performance of the Relevant Experience Project (Scope Explanation) and that some component of the KSA-related service and/or product was customized (Customization Explanation). Then state where in the verifiable contractual documents the KSA scope and customization is demonstrated:

Task Order 1

Check if KSA 1 is represented

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

Where in the document(s) is KSA 1's scope found? Where in document(s) is KSA 1 customization found?

Check if KSA 2 is represented

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

Where in the document(s) is KSA 2's scope found? Where in document(s) is KSA 2 customization found?

Check if KSA 3 is represented

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

Where in the document(s) is KSA 3's scope found? Where in document(s) is KSA 3 customization found?

Task Order 2

Check if KSA 1 is represented

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

Where in the document(s) is KSA 1's scope found? Where in document(s) is KSA 1 customization found?

Check if KSA 2 is represented

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

Where in the document(s) is KSA 2's scope found? Where in document(s) is KSA 2 customization found?

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

Where in the document(s) is KSA 3's scope found? Where in document(s) is KSA 3 customization found?

Task Order 3

Check if KSA 1 is represented

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

Where in the document(s) is KSA 1's scope found? Where in document(s) is KSA 1 customization found?

Check if KSA 2 is represented

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

Where in the document(s) is KSA 2's scope found? Where in document(s) is KSA 2 customization found?

Check if KSA 3 is represented

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

Where in the document(s) is KSA 3's scope found? Where in document(s) is KSA 3 customization found?

Task Order 4

Check if KSA 1 is represented

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

Where in the document(s) is KSA 1's scope found? Where in document(s) is KSA 1 customization found?

Check if KSA 2 is represented

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

Where in the document(s) is KSA 2's scope found? Where in document(s) is KSA 2 customization found?

Check if KSA 3 is represented

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

Where in the document(s) is KSA 3's scope found? Where in document(s) is KSA 3 customization found?

Task Order 5

Check if KSA 1 is represented

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

Where in the document(s) is KSA 1's scope found? Where in document(s) is KSA 1 customization found?

Check if KSA 2 is represented

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

Where in the document(s) is KSA 2's scope found? Where in document(s) is KSA 2 customization found?

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

Where in the document(s) is KSA 3's scope found? Where in document(s) is KSA 3 customization found?

Task Order 6

Check if KSA 1 is represented

KSA 1 Scope Explanation: KSA 1 Customization Explanation:

Where in the document(s) is KSA 1's scope found? Where in document(s) is KSA 1 customization found?

Check if KSA 2 is represented

KSA 2 Scope Explanation: KSA 2 Customization Explanation:

Where in the document(s) is KSA 2's scope found? Where in document(s) is KSA 2 customization found?

Human Capital and Training Solutions (HCaTS)

Solicitation: GS02Q15CRR0001 Amendment Number: 00 Attachment J.12.4

KSA 3 Scope Explanation: KSA 3 Customization Explanation:

Where in the document(s) is KSA 3's scope found? Where in document(s) is KSA 3 customization found?

15. Does the Relevant Experience Project meet or exceed the minimum total estimated and/or obligated value requirement as prescribed in Section L.5.2.2?

Yes

No

Total Estimated and/or Obligated Value of Relevant Experience Project is:

16. Does the Relevant Experience Project meet or exceed the minimum period of performance requirement as prescribed in Section L.5.2.2?

Yes

No

Total Period of Performance of Relevant Experience Project is (months):

17. Are all of the breaks in service between task orders less than 30 days in accordance with Section L.5.2.2?