ATTACH_04_Experience Form_Revised.docx
DOCX document 27 KB Posted
- Solicitation number
- N4008426R2001
About this file
This is an Experience Form (Attachment 4) that offerors must complete to demonstrate their qualifications for the Integrated Solid Waste Management Bulk Waste contract at Marine Corps Installations Pacific (MCI-PAC) Camp Smedley D. Butler, Okinawa Japan (Solicitation N40084-26-R-2001). The form is a template requiring submission of relevant project experience data and is marked as Source Selection Information under FAR 2.101 and 3.104.
Offerors are limited to submitting a maximum of eight (8) projects combined and must complete all sections in English. The form requires identification of the experiencing entity (offeror, joint venture, or other), work role (prime contractor, subcontractor, or joint venture), and detailed project information including contract number, award and completion dates, contract type (firm-fixed price, cost/time and material), award amount, and final price. Offerors must describe the project scope, its relevance to the RFP requirements, the specific work self-performed by their firm, and provide any additional supporting information. The form accommodates multiple contract types including firm-fixed price arrangements and delivery/task orders under IDIQ structures.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACH_02_1503030 ELINS_ISWM BULK Rev2.xlsx | XLSX spreadsheet | |
| N4008426R2001_Amend 0003.pdf | ||
| N4008426R2001_Amend 0002.pdf | ||
| ATTACH_02_1503030 ELINS_ISWM BULK Rev1.xlsx | XLSX spreadsheet | |
| N4008426R2001_Amend 0001.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_04_Experience Form.docx | DOCX document | |
| ATTACH_02_1503030 ELINS_ISWM BULK.xlsx | XLSX spreadsheet | |
| N4008426R2001_RFP.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 |
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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 |_| #4 |_| #4 |_| #6 |_| #7 |_| #8 Combined with project No._________ Offerors are limited to a total of eight (8) projects combined.
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 .