Attachment 4_Experience Form_R1.docx
DOCX document 14 KB Posted
- Solicitation number
- N4008425Q0009
About this file
The document is an Experience Form template for a federal contract opportunity solicitation (N4008425Q0009) issued by the Department of the Navy Naval Facilities Engineering Command. The form is designed for potential offerors to detail their past project experience, with sections capturing key information such as entity role, contract details, project performance periods, contract types, and a space for describing project relevance and self-performed work.
The associated federal contract opportunity is a Request for Quote (RFQ) for the removal, rinsing, and disposal of Aqueous Film Forming Foam (AFFF) material from hangars and non-hangar facilities within the U.S. Navy Region in Japan. The solicitation is a combined synopsis/solicitation for commercial items, with restricted access due to Controlled Unclassified Information (CUI) classification. Potential quoters must complete a non-disclosure agreement and request access to restricted documents on sam.gov to participate in the solicitation process.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_0002.pdf | ||
| Amendment 0001.pdf | ||
| 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 4_Experience Form.docx | DOCX document | |
| 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 |_| #4
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 .