Attachment 4_Experience Form.docx
DOCX document 14 KB Posted
- Solicitation number
- N4008425Q0009
About this file
The document is an Experience Form attachment for a federal solicitation, designed to capture detailed project experience information for potential bidders. The form is part of solicitation N4008425Q0009 issued by the Department of the Navy Naval Facilities Engineering Command, which seeks a contractor for Aqueous Film Forming Foam (AFFF) System Removal, Rinse, and Disposal at Naval Region Japan locations. The comprehensive form requires bidders to provide extensive details about prior project experience, including entity role, contract type, performance periods, dollar amounts, and specific work performed, with checkboxes for prime contractor status, contract types, and project characteristics.
The Experience Form is structured to help evaluate a contractor's qualifications by capturing granular information across ten distinct sections, including contract identification, entity roles, performance metrics, and project descriptions. Key sections require documenting the percentage of work self-performed versus subcontracted, specific contract details like award and completion dates, contract types (such as Firm-Fixed Price or Cost/Time and Material), and a detailed explanation of project relevance to the current solicitation's requirements. The form appears designed to thoroughly assess bidders' capabilities and prior experience in similar environmental remediation or disposal projects, specifically tailored to the Navy's AFFF system removal needs in Japan.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_0002.pdf | ||
| Amendment 0001.pdf | ||
| Attachment 4_Experience Form_R1.docx | DOCX document | |
| CUI OPSEC Guidance.pdf | ||
| AU-NDA_JULY 2025 and CUI-OPSEC Guide_FE.pdf | ||
| N4008425Q0009 Comb SynopSolit AFFF.pdf | ||
| Attachment 2_N4008425Q0009_Question_Form.xlsx | XLSX spreadsheet | |
| Attachment 3_Price Schedule.pdf | ||
| Attachment 5_Past Performance Form.docx | DOCX document |
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Text version
ATTACHMENT 4
EXPERIENCE FORM
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 .