v2_Solicitation_Attachment_4_Relevant_Experience_Form_amendment_12-11-2014.pdf

RELEVANT EXPERIENCE FORM

1. Complete Name of Reference (Government agency, commercial firm, or other organization)

2. Complete Address of Reference

3. Contract Number or other control number

4. Date of contract

5. Date work was begun

6. Date work was completed

7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee

8. Final amount invoiced or amount invoiced to date

9a. Reference/Technical point of contact (name, title, address, telephone

no. and email address)

9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address)

10. Location of work (country, state or province, county, city)

11. Current status of contract (choose one): [ ] Work completed, claims negotiations pending or underway

[ ] Work continuing, on schedule [ ] Work completed, litigation pending or underway

[ ] Work continuing, behind schedule [ ] Terminated for Convenience

[ ] Work completed, no further action pending or underway [ ] Terminated for Default

[ ] Work completed, routine administrative action pending or underway [ ] Other (explain)

12. Provide a summary description of contract work, not to exceed one pagefive pages in length. Describe the nature and scope of work, its relevancy to this contract, and a description of any problems encountered and your corrective actions. Attach the explanation to this form.

13. Describe the extent to which your team members (subcontractors) on the instant solicitation contributed to the effort described in Block 12. Describe the extent to which the employees from your company who performed the effort described in Block 12 will be performing under this solicitation.

14. Describe the nature of your customer on this contract. How is your customer similar to IWS 6, or if not similar, how is your experience with this customer relevant to IWS 6?

15. Please attach CPARS evaluations for all portions of the past three years on this contract, if available. If customer evaluations, other than CPARS were completed, please attach them. Otherwise, your references may be contacted by the Government to respond to Past Performance questions.