ID07180024_APPENDIX_D_Past_Experience.pdf

ID07180024

APPENDIX D:

PAST EXPERIENCE (PE) Information Sheet

Provide the information requested in this form for each contract/program being described. Provide concise comments regarding your performance on the contracts you identify. Provide a separate completed form for each contract/program submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in the contract, Appendix A, 3.2, “Past Experience,” of this solicitation “instruction to offerors” section.

A. Offeror Name (Company/Division):____________________________________

CAGE Code:_______________________________________________________

DUNS Number:_____________________________________________________

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes.)

B. Program Title: _______________________________________________________

C. Contract Specifics:

1. Contracting Agency or Customer ___________________________________________

2. Contract Number________________________________________________________

3. Contract Type___________________________________________________________

4. Period of Performance ____________________________________________________

5. Total Contract $ Value ____________________(Total cost to include all options)

6. Current Contract $ Value ____________________ (Do not include unexercised options)

7. COMPLETED CPARS ____IS or ____ IS NOT in PPIRS. Date completed in CPARS/PPIRS: ____________

D. Brief Description of Effort as __Prime or __Subcontractor

(Please indicate whether it was development and/or production, or other acquisition phase and highlight portions considered most relevant to current acquisition)

E. Milestones:

1. Start Date: __________________________________________

2. Completion Date: __________________________________________

F. Primary Customer Points of Contact: (For Government contracts provide current information on both individuals. For commercial contracts, provide points of contact fulfilling these same roles.)

Client Program Manager and/or

Site Manager

Name

Office

Address

Telephone

FAX Number

E-Mail

Contracting Officer

Name

Office

ID07180024

Address

Telephone

FAX Number

E-Mail

G. Describe in as much detail as possible why this experience is relevant with respect to the scope of the overall task and to the requirements as described in the PWS. Scope is defined as the range of work/skills being referenced is similar in nature to the requirements identified in the /PWS.

H. Describe in as much detail as possible why this experience is relevant with respect to the size of the overall task and to the requirements as described Section 4 of the SOW/PWS. Similar in Size is defined as PEs demonstrating experience conducting about 30 courses during an annual or calendar year period is similar in nature to the requirements identified in the PWS.