J-L-02.docx

J-L-02

RECENT, RELEVANT EXPERIENCE OF FIRM PROJECT DATA SHEET

SOLICITATION NUMBER N62473-16-R-1017

This form is to be completed by the offeror. Use this form (one per project) to provide supporting project information for Factor 1, Recent, Relevant Experience of Firm. Offeror may submit a minimum of 2 and a maximum of 5 projects. Total page limit for each project shall NOT exceed 3 single-sided pages. For multiple award and indefinite delivery/indefinite quantity (IDIQ) type contracts, the contract as a whole shall NOT be submitted as a project; rather offeror’s shall submit the work performed under a task order as a project. Projects submitted shall have been completed within the last 5 years prior to the proposal due date.

1. Offeror Name: __________________ JV Partner Name: __________________ (if applicable)

2. Contract Number: __________________ Delivery/Task Order Number: __________________ Project Title: __________________ Project Location: __________________

3. Award Date (mm/dd/yy): __________________ Completion Date (mm/dd/yy): __________________ Project is _______% complete

4. Award Amount (including all options) : $ __________________ Total Annual Award Value $ _____________ Amount billed/invoiced: $ _____________ Final Contract Price (including all options): $ __________________ If the Final contract price above is: |_| subcontract price Provide total project price: $ _______________

5. Type of Contract (check one): |_| FFP |_| MASC |_| IDIQ |_| BOS CONTRACT |_| OTHER

6. This project was Performance Based |_| YES |_| NO

7.Customer/Owner Name:

Point of Contact Name/Title: (person with project knowledge) POC Phone Number: POC Email Address: __________________

*provide the name of the prime contractor:

If the firm who performed this project differs from the offeror submitting a proposal under this solicitation, identify the relationship to the offeror below:

|_| Key Personnel** |_| Subsidiary |_| Satellite Office |_| Parent Company |_| Predecessor Company

**If this project was performed by offeror key personnel, identify the name of the individual, name of firm they worked for, and describe their involvement on this project:

9. If this project was performed by offeror key personnel, a subsidiary, satellite office, parent company, predecessor company, provide a detailed explanation how this office/person will participate in this contract.

10. Percentage of work firm self-performed (see “self-perform” definition) on this project: _______% Provide detailed description of what work your firm self-performed on this project. If performed as subcontractor, provide a detailed description of what work your firm self-performed as a subcontractor on this project.

11. Identify annexes below that are relevant to this project (include dollar amount and % of work your firm self-performed per Annex 1700000).

Relevancy of this project to RFP Annex

Annex Number / Name

Contract Price Percentage of work your Firm self-performed

Yes - or - No

Note: Form may be expanded.