ITO Attachment Previous Experience Information Sheet ID04200073 06 23 2020.docx

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Benefits Methods Development and Other Relevant Analyses for the Evaluation of Air Pollution Control Policies
Solicitation number
ID04200073
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ITO Attachment

PREVIOUS EXPERIENCE INFORMATION SHEET

Provide the information requested in this form for each contract/task order being described. Provide concise comments regarding your performance on the contracts/orders you identify. Provide a separate completed form for each contract/order submitted. Limit the number of past efforts submitted and the length of each submission to the limitations set forth in the Instruction To Offerors (ITO), Section L Instructions, of this solicitation.

A. Offeror:

or Critical Subcontractor Responsible for this effort (if applicable) _________________________________________ CAGE Code:

DUNS Number:

(NOTE: If the company performing this effort is different than the offeror itself, list the name and information of the CTA teaming partner or Critical Subcontractor responsible for this effort.)

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. Number of Positions Provided:

D. Brief Description of Effort (Please indicate your role as the Prime, CTA Member or Subcontractor, what portions of the effort you performed and highlight the portions considered most relevant to current acquisition):

E. 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

F. SOW Task Areas: Performance under this contract or task order includes/included work, in which the offeror considers the same or similar to the following PWS tasks from ID04200073 (select all that apply):

Conduct Benefits Analyses:

|_| C.2.1.3

Conduct and Support Risk Analyses:

|_| C.2.1.4

Develop Analysis Methods and Conduct Economic Analyses:

|_| C.2.1.6

Conduct Training on Models or Methods and Provide Support for Modeling and Software Development:

|_| C.2.1.13

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 specific areas/tasks of the PWS identified above:

H. Describe in as much detail as possible why this experience is relevant with respect to the magnitude of the overall task and to the requirements as described in specific areas/tasks of the PWS identified above:

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