ATTACH_04_Experience Form.docx
DOCX document 29 KB Posted
- Solicitation number
- N4008426R2001
About this file
This is an Experience Form template designed for offerors responding to the Integrated Solid Waste Management Bulk Waste solicitation at Marine Corps Installations Pacific (MCI-PAC) Camp Smedley D. Butler, Okinawa Japan (Solicitation Number N4008426R2001). The form is a required submission document that must be completed in English and serves as an evaluation criterion for past performance.
The Experience Form requires offerors to document relevant project experience by identifying the firm's role (prime contractor, subcontractor, or joint venture), contract details including contract number, award and completion dates, and award amount with final price. Offerors must specify the type of work performed—whether facility investment, solid waste management, grounds maintenance, or other—and identify the contract type such as firm-fixed price, cost/time and material, delivery/task order, or IDIQ contracts. The form allows offerors to submit experience for up to three separate projects, with combined projects counting as a single submission. Offerors must provide detailed descriptions of the project scope, relevancy to the RFP requirements, work self-performed by the firm, and any additional supporting information. The form is marked as CUI//FEDCON Source Selection Information and must be completed by all offerors as part of their proposal package.
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Other files
| File | Type | Posted |
|---|---|---|
| N4008426R2001_Amend 0003.pdf | ||
| ATTACH_02_1503030 ELINS_ISWM BULK Rev2.xlsx | XLSX spreadsheet | |
| ATTACH_04_Experience Form_Revised.docx | DOCX document | |
| N4008426R2001_Amend 0002.pdf | ||
| ATTACH_02_1503030 ELINS_ISWM BULK Rev1.xlsx | XLSX spreadsheet | |
| N4008426R2001_Amend 0001.pdf | ||
| ATTACH_09_Before_Starting_Business_with_NAVFAC_2023.pdf | ||
| ATTACH_07_Site Visit Request Form.xlsx | XLSX spreadsheet | |
| ATTACH_10_W-14.pdf | ||
| ATTACH_08_PIEE Solicitation Module Guide.pdf | ||
| ATTACH_06_Pre Proposal Inquiry Form.xlsx | XLSX spreadsheet | |
| ATTACH_03_PAP_ISWM BULK.pdf | ||
| ATTACH_12_For Contractors - CMMC.pdf | ||
| ATTACH_11_For Contractors - NIST SP 800-171 and SPRS.pdf | ||
| ATTACH_05_Past Performance Questionnaire.docx | DOCX document | |
| ATTACH_02_1503030 ELINS_ISWM BULK.xlsx | XLSX spreadsheet | |
| N4008426R2001_RFP.pdf |
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Text version
CUI//FEDCON [when filled in] Source Selection Information - See FAR 2.101 & 3.104 [when filled in]
Integrated Solid Waste Management Bulk Waste AT MARINE CORPS INSTALLATIONS PACIFIC (MCI-PAC) CAMP SMEDLEY D. BUTLER, OKINAWA JAPAN N40084-26-R-2001
ATTACHMENT 4
EXPERIENCE FORM
The offeror shall complete all sections in English.
EXPERIENCE DATA SHEET
Project No. (check one) : |_| #1 |_| #2 |_| #3
Combined with project No._________ If submitting as combination fo projects, combined projects will count as one (1).
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:
|_| Facility Investment |_| Solid Waste Management |_| Grounds Maintenance |_| 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 2)
9. Provide a detailed description of what work your firm self-performed on this project:
10. Other Information:
CUI//FEDCON [when filled in] Source Selection Information - See FAR 2.101 & 3.104 [when filled in]
File details come from the government source that posted it. Updated .