N4008424R0054_Attachment_8_Experience Form.docx
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- Solicitation number
- N4008424R0054
About this file
This is an Experience Project Data Sheet template (Attachment 4) designed to collect past performance information from offerors bidding on a hazardous waste disposal support contract at U.S. Marine Corps Base, Camp Kinser in Okinawa, Japan.
The form requires detailed information about previous contracts including the entity's role (prime contractor, joint venture member, etc.), contract numbers, dollar amounts by performance year, points of contact, and contract types (firm-fixed price, cost/time and material). Offerors must provide specific details about their self-performed work and project relevancy to the current solicitation. The template includes spaces for up to three past performance references and requires identifying information such as CAGE codes and SAM UEID numbers.
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Text version
ATTACHMENT 4
EXPERIENCE PROJECT DATA SHEET
Project No. (check one) : |_| #1 |_| #2 |_| #3
1. Experience for: |_| Offeror for this Solicitation |_| Other (Identify below, e.g.: Joint Venture Member, Corporate affiliate, etc.)
Name of entity that performed services for this Project: ____________________________________ Entity CAGE: _____________ Entity SAM UEID: _____________
2. Entity role in project: |_| Prime Contractor |_| Joint Venture Member |_| Other (Identify): ___________________________________________
Percent of project work performed by entity listed in Box 1: __________________ Percent of project work subcontracted: __________________
| 3. Contract Number: _____________________ Delivery/Task Order Number: _____________ | |
| Title: ___________________________________ | Location: _______________________________ |
| Client Point of Contact: ____________________ | Client Phone Number: ____________________ |
Client Email Address: _____________________
4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):
5. Provide the dollar amount of work completed for each full year of performance: (Expand as appropriate and provide each full year as a separate period of performance)
Period of Performance ___ (______ to ______): $
6. Type of Contract/Task Order: (Check ALL that apply)
|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain): ______________________
7. Type of Contract/Task Order: (Check ALL that apply)
|_| Standalone Contract |_| Single Delivery/Task Order
|_| Other (explain): ____________________________________________________________________
8. Provide a detailed description of the project and the relevancy to the requirements of this solicitation.
9. Provide a detailed description of what work the entity listed in Box 1 self-performed on this project:
10. Other Information:
File details come from the government source that posted it. Updated .