N4425519R6006_Attachment_J.M-1,_Relevant_Contract_Experience_Data_Sheet.pdf

Long Term Monitoring, Operations and Maintenance N44255-19-R-6006 Naval Facilities Engineering Command, Northwest

SOLICITATION ATTACHMENT J.M-1

FACTOR 1 - RELEVANT CONTRACT EXPERIENCE DATA SHEET

(Provide one contract experience data sheet for each sample contract)

1. Experience for: Offeror Joint Venture Partner Other (Specify)

Firm Name:

Address:

Point of Contact:

Contact Phone Number:

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

3. Contract Number:

Title:

Location:

Contract Type (i.e. Firm Fixed Price, Firm Fixed Price Incentive, Cost Reimbursable – specify)

4. Client Name and Address:

Client Name:

Point of Contact (POC): POC Phone Number:

FAX Number: E-mail address:

5. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

If the contract is not complete, has at least 80% of the project has been performed, including administrative submittals?

Yes No

6. Original Contract Award Price:

Final Contract Price (or current price if not yet complete):

Award amount for each year of the contract:

7. Types of Long Term Monitoring and Operations and Maintenance Services provided (list all which are identical or similar to the types of work under this contract. A few examples include inspection of xxx, monitoring of xxx, capped landfills, groundwater treatment systems, soil, air, aquatic, etc.):

FACTOR 1 - RELEVANT CONTRACT EXPERIENCE DATA SHEET - continued

8. What is the percentage and dollar value of work your firm performed as the prime contractor?

(or) What is the percentage and dollar value of work your firm performed as the subcontractor?

What is the percentage and dollar value of work that your firm subcontracted?

9. Evaluation Received:

Excellent Highly Acceptable Acceptable Marginal Unsatisfactory (or equivalent scoring) Special Acknowledgements:

10. Contract information, to include description of work performed, how it was similar to the scope, size, and complexity:

FACTOR 1 - RELEVANT CONTRACT EXPERIENCE DATA SHEET - continued

11. Describe experience with collective bargaining agreements on this contract.

12. Describe the relevance of this contract to this solicitation:

13. What significant challenges were encountered and how were they overcome

14. Other Relevant Information:

DO NOT EXPAND THE DATA SHEET BEYOND SIX PAGES FOR ANY ONE SAMPLE PROJECT