Attach_(5)_Experience_Form.docx
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- Attached to
- South Grounds Maintenance Services at U. S. Government Installations, MCB Butler Okinawa, Japan
- Solicitation number
- N4008419R2009
About this file
This document is an experience form template for offerors responding to solicitation number N4008419R2009 from the Department of the Navy Naval Facilities Engineering Command. The form requests details on up to five relevant past performance projects to qualify for grounds maintenance services at U.S. government installations in Okinawa, Japan. Information requested includes the firm and project names, locations, award and completion dates, contract values, descriptions of the work performed and its relevance, and the percentages of work the offeror self-performed. Offerors must complete the form in English and use it to demonstrate experience in areas like new construction, renovation, repair, alteration, and services. Relevant experience must be described in an annex in accordance with the evaluation factors.
Attach (5) Experience Form
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Text version
RFP N40084-19-R-2009
Grounds Maintenance Services, Southern Camps Okinawa, Japan
RFP N40084-19-R-2009
Grounds Maintenance Services, Southern Camps Okinawa, Japan
The offeror shall complete all sections in English.
EXPERIENCE PROJECT DATA SHEET
Project No. (check one) : |_| #1 |_| #2 |_| #3 |_| #4 |_| #5
1. Experience for: |_| Offeror |_| Joint-Venture |_| Other (Explain)
Firm Name:
Address:
Phone Number:
Point of Contact: Contact Phone Number:
2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain)
Percent of project work performed:
If subcontractor, who was prime (Name/Phone #):
3. Contract Number: Delivery/Task Order Number:
Title:
Location:
4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):
5. Type of work:
|_| New Construction |_| Renovation |_| Repair |_| Alteration |_| Services |_| Other (explain):
6. Type of Contract/Task Order: (Check ALL that apply)
|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):
7. Award Amount: Final Price:
Type of Contract/Task Order: (Check ALL that apply)
|_| Delivery/Task Order (IDIQ) |_| Other (explain):
8. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (Include applicable annex in accordance with Factor 3)
9. Provide a detailed description of what work your firm self-performed on this project:
10. Other Information:
Rev. Apr 2017 2
SOURCE SELECTION SENSITIVE INFORMATION
DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY
File details come from the government source that posted it. Updated .