AMEND1_FINAL_RFP_ATT6_Rlvnt_Experience_Form.docx

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Attached to
PMW 750 C4I Testing, Integration, and Installation Follow-on
Solicitation number
N00039-17-R-0043
Issued by

About this file

This document contains an Attachment 6 Relevant Experience Form and details of a federal contract opportunity for PMW 750 C4I Testing, Integration, and Installation Follow-on services.

The Relevant Experience Form is a template requesting contact information for references and descriptions of up to three pages of relevant experience with afloat C4I integration, installation, and test work. It also requests information on small business subcontracting plans and procedures to ensure timely payments.

The federal contract opportunity was awarded on June 26, 2019 for a total of $601,513,730.00. The awarded vendors were to provide PMW 750 C4I Testing, Integration, and Installation Follow-on services. The solicitation was issued by the Department of the Navy Information Warfare Systems Command.

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ATTACHMENT 6 – RELEVANT EXPERIENCE FORM

(Note: Offerors are not to change the spatial structure of this form, i.e. borders, block size, etc.)

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 continuing, on schedule [ ] Terminated for Convenience [ ] Work continuing, behind schedule [ ] Terminated for Default [ ] Work completed, no further action pending or underway [ ] Other (explain) [ ] Work completed, routine administrative action pending or underway [ ] Work completed, claims negotiations pending or underway [ ] Work completed, litigation pending or underway

12. Provide brief information describing the success of your firm in furthering the policy of the United States to maximize practicable opportunities for small business concerns, HUBZone small business concerns, small business concerns owned and controlled by socially and economically disadvantaged individuals, and small business concerns owned and controlled by women to participate in this contract.

13. When contracting with firms described in part 12 above, describe what, if any, procedures your firm established to ensure timely payment of amounts due.

14a. Did this contract require a Small Business Subcontracting Plan pursuant to FAR 52.219-9? Yes ___, No ___.

14b. If “Yes” to 14a, have you regularly submitted SF 294/295 reports on time? Yes ___, No ___.

14c. Attach a copy of your most recently submitted SF 294.

15. Provide a summary description of afloat C4I integration, installation, and test work relative to PWS sections 3.1.1.5, 3.1.2.3, 3.1.2.5, 3.1.2.6, 3.1.2.7, 3.1.4.1, 3.1.4.2, 3.1.4.5, 3.1.5.2, 3.1.5.3, 3.1.5.5, and 3.1.5.7 not to exceed three pages (where one side of a printed page is one page).

N00039-17-R-0043 Attachment 6

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