Attach5_ExhibitA_ExperienceProjectDataSheet.docx

EXHIBIT “A”

NAME OF OFFEROR: _____________________________________________________________

Provide the following information: for minimum of one (1) to maximum of three (3) recent relevant projects performed by the company as prime or sub-contractor that are relevant to the work requirements specified in the solicitation. A relevant project is defined as follows:

a. Providing Maintenance and Repair on a Supervisory Control and Data Acquisition (SCADA) system and Providing Maintenance and Repair on Electrical Receiving and Distribution System and Facilities,

b. Completed within the past ten (10) years before the date of issuance of this solicitation or ongoing project with at least one year of completion at the time of proposal submission, and

c. Has an annual value of Y10,000,000 or more for the work related to Maintenance and Repair on SCADA system and Electrical Receiving and Distribution System and Facilities.

EXPERIENCE CONTRACT DATA SHEET (FACTOR 1)

PROJECT NO. (Check One): 1. 2. 3.

1. Contract Number:

2. Contracting Issuing Organization (or Prime Contractor):

3. Project Number and / or Contract Title:

4. Project Location:

(Note: If worked as a subcontractor - List only the contract / project work that your company performed – do not list the prime contract.

5. Award Date (mm/dd/yy):

Completion Date (mm/dd/yy): (Including all options)

Base period: ________________ First Option Period:

Second Option period:

Third Option Period:

Fourth Option Period: ___________________ Total Contract Price (Including all options): _____________

7. Name of Prime Contractor performed the Contract (as shown on the contract documents)

8. Prime Contractor’s Point of Contact info. (Name, Phone No and Email Address)

9. If any, Subcontractor’s Point of Contact info.

(Name, Phone No and Email Address)

10. Owner/Customer Point of Contact info. (Name, Phone No and Email Address)

11. Provide a clear description of the contract scope of work performed and the relevancy to the project requirements of this RFP. The description shall provide specific details and shall not restate the criteria.

Rev. Jan 2018

12. If your company performed as Prime Contractor on this project, provide a detailed description of what type of work and percentage (%) of work that your company subcontracted for the project. Identify the number of subcontractors used, the type of work each subcontractor performed, and the overall percentage of work each subcontractor performed.

13. If your company performed as Subcontractor on this project, provide a detailed description of what type of work and percentage (%) of work that your company performed.

14. Customer Evaluation of work performed

15. Provide any information on problems encountered and the corrective actions taken:

17. If your firm is submitting past performance or experience information pertaining to a “proposed” subcontractor, the proposal shall clearly describe the roles and responsibilities of the entity, including specific affirmative commitment(s) of resources (workforce, management, facilities, or other resources) demonstrating that such an entity will have meaningful involvement in the performance of this project, in order for past performance or experience of that entity to be considered.

16. Other information your firm deems necessary for the Government’s evaluation of past performance in terms of customer satisfaction, such as any negative past performance information that will assist the Government in fairly and accurately evaluating the Company’s past performance (e.g., why performance evaluation was marginal, etc.):