Attachment_1_-_Past_Project_Form.docx

ATTACHMENT 1

EXPERIENCE / PAST PROJECT FORM

1. Name of Contractor

1a. Solicitation Number (i.e. the solicitation your firm is responding to)

2. Complete Name of Government Agency, Commercial Firm, or Other Organization for Which Effort Performed.

3. Complete Address of Entity Named in #2 Above

4. Contract Number or Other Reference

5. Date of Project Award

6. Period of Performance (to include all options)

From: To:

7. Was contractor listed in section 1 the Prime Contractor?

Yes [ ] No [ ] 7a. If “No” was selected for 9, list the % work your firm performed and describe duties clearly in block 10a.

% of Work:

8. SCOPE

Provide a brief description

8a. SCOPE

New Construction [ ] Repair and Alteration Services [ ]

9. MAGNITUDE

Total Project Price (to include all options):

Total Square Feet of Work Performed:

10. COMPLEXITY

CMc Method [ ] Utilization of GMP [ ] Multiple Subcontractors [ ]

10a. COMPLEXITY Description of Contract Work. In order to establish the relevance of your project to the requirement, please describe duties performed for this work, comparing and contrasting it to that required under this solicitation. Additionally, describe any unique or unusual requirements of the contract, and performance problems or issues encountered under the performance of the contract. For problems/issues noted, describe the method of resolution and/or corrective actions taken.

11. Building Owner Point of Contact

Name:

Title:

Phone:

Email:

11a. Contracting or Purchasing Point of Contact

Name:

Title:

Phone:

Email:

12. Geographic Location of Work (Country, State or Province, County, City)

13. Contractor Performance Assessment Reporting System (CPARS) Completion: CPARS is a web-enabled application that collects and manages contractor performance assessments. A CPAR report is required to be completed annually through the conclusion of the contract. Once “finalized” CPAR assessments are copied to the Past Performance Informational Retrieval System (PPIRS). Contractors may view their own data in PPIRS at http://www.ppirs.gov/.

Contractor Complete the Following by Checking the Appropriate Box:

□ A “finalized” Contractor Performance Assessment Report IS resident in PPIRS for this contract

□ A “finalized” Contractor Performance Assessment Report IS NOT resident in PPIRS for this contract