ID07180034_Appendix_C_Beale_AFB_Previous_Experience_Information_Sheet_Revised_2.4.18.pdf

APPENDIX C

PREVIOUS EXPERIENCE 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 purchase order, Appendix B, Section B1.0, Previous Experience, of this solicitation.

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 inlcude all options)

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

7. Numbr of Positions Provided: _____________________

D. Brief Description of Effort as __Prime or __CTA Member 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 Information

Name

Office

Telephone

E-Mail

Contracting Officer

Information

Name

Office

Telephone

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 following critical areas of the PWS that will be evaluated:

o Hazardous Waste(HW) Program – Experience managing facility programs, experience at

DoD Installations, experience working with regulator’s, experience with EESOH-MIS and

DLA systems o Air Program – Experience managing facility programs, experience in permit application preparations, experience working with regulator’s and APIMS experience o Hazardous Materials(HM) Program – Experience managing site programs o Cultural Resource Management – Experience managing site programs o Water Quality – Experience in permit application preparation and experience working with regulator’s o Sampling – Experience and proper training

Scope is defined as a measurable range of operations such as the major requirement areas of a PWS.

Please reference back to Appendix A, Section 1.2 Past Experience (PE) “similar” language.

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 in the following critical areas of the PWS that will be evaluated:

Analyze and accurately input documents in government financial systems.

Arrange trips into Government Travel System and report on travel activity

Perform financial research/analysis to identify and resolve financial anomalies to ensure accuracy of financial reporting.

Formulate, present, review, track and monitor various performance measures and standards

Size is defined as dollar value; number of personnel in similar skill sets supported is similar in nature to the requirements identified in the PWS. Please reference back to Appendix A, Section 1.2 Previous

Experience (PE) “similar” language.