J-0200000-12 rev.1.pdf

ATTACHMENT J-020000-12

RECENT/RELEVANT EXPERIENCE FORM

Factor 2: Recent/Relevant Experience

This form is to be completed by the Offeror in accordance with Factor 2

Contract No. (check one) : #1 #2 #3 #4 #5

1. Contract Information for: Offeror Joint-Venture Other (Explain)

Offeror Name & UEID:

JV Partner Name & UEID (if applicable):

Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other

(Explain)

Percent of contract work self-performed:

If subcontractor, who was prime (Name/Phone #/UEID):

If the firm who performed the work on this contract differs from the Offeror submitting a proposal under this solicitation, identify relationship to the Offeror below:

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

Contract Customer POC Name/Email/Phone Number:

4. Type of work:

Maintenance Repair Alteration Minor Construction Other (explain):

5. Type of Contract/Task Order: (Check ALL that apply)

Firm-Fixed Price Indefinite Delivery/Indefinite Quantity BOS Delivery/Task Order Other

(explain):

6. Award Date (mm/dd/yy):

Estimated Final Period of Performance End date (mm/dd/yy):

7. The Relevancy Size requirement for this solicitation is a project with a yearly value of at least $450,000 for recurring services.

Estimated Total Contract Value/Total Award Amount for your Contract: $____________________

If the contract is an IDIQ, provide the Period of Performance and Contract value for the Recurring work/Guaranteed work Base Period and each Option Period below. The table should be expanded/contracted to capture each period of performance as necessary.

Contract Period Period of Performance:

(start mm/dd/yy – end mm/dd/yy)

Recurring/Guaranteed Contract Period

Value

Base Period $

Option Period 1 $

Option Period 2 $

Option Period 3 $

Option Period 4 $

8a. Provide a detailed narrative that describes how this contract meets the Scope requirements of this RFP: “Offeror must have provided labor, supervision, tools, material, and equipment required to perform fire protection services as described in the Performance Work Statement (PWS).”

8b.Provide a detailed narrative that describes how this contract meets the Complexity requirements of this RFP:

“Offeror must have been responsible for responding simultaneously to requirements for several customers and/or installations.”

Note that the description of the contract shall clearly describe the scope of work performed and the relevancy to the requirements of this RFP as it relates to Size, Scope, and Complexity as defined above, or the Government may consider the project not relevant.

10. Provide a detailed description of what work your firm self-performed on this contract.

11. Other Relevant Information: