Attachment8.doc

DOC document 49 KB Posted

Attached to
NIH Campus Parking Services Federal contract opportunity
Solicitation number
NIHOD2008052
Issued by
Department of Health and Human Services National Institutes of Health

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Attachment 8

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Text version

Attachment #8 Corporate Experience Corporate Experience Information Form

1. Complete Name of Government agency, Commercial Firm, or other organization

2. Complete Address

3. Contract number or other reference

4. Date of Contract

5. Date work began

6. Date work was completed

7. Contract price

8. Estimated Hours Per Year

9a. Technical point of contact (name, title, address, telephone no., and email address)

9b. Contracting or purchasing point of contact (name, title, address, telephone no., and email address)

10. Location of work (country, state or province, county, city)

11. Description of contract work. Describe nature and scope of this work. Provide a detailed explanation demonstrating the relevance of the contract to the requirements of the solicitation. Attach an explanation of any performance problems or other conflicts with the customer. (Use a continuation sheet, if necessary.)

11a. Name(s) of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).

Instructions for Completing the Corporate Experience Information Form

Item 1 Insert the complete name of the customer, including parent organization. Do not use acronyms.

Item 2 Insert the customer's complete address, including both post office box and street address, if possible.

Item 3 Insert any contract number or other contract reference used by the customer.

Item 4 Insert the date on which the contract came into existence.

Item 5 Insert the date on which the contract came into existence.

Item 6 Insert the date on which the customer agreed that the work was satisfactorily completed (including substantial completion), aside from any pending or on-going administrative actions, claims negotiations, or litigation.

Item 7 Insert the price, as it appeared in the original contract. If the contract included multiple, separately-priced items, add the individual item amounts and insert the total price.

Item 8 Insert the estimated hours worked under this contract. Please provide hours for both productive and supervisory positions if applicable.

Item 9a Insert the name, title, address, telephone number, and email address (if available) of the program or project manager, quality assurance representative, or other customer technical representative who is most familiar with the quality of your work under the contract.

Item 9b Insert the name, title, address, telephone number, and email address (if available) of the contracting officer, purchasing agent, or other customer contracting or purchasing representative who is most familiar with your work under the contract.

Item 10 Insert the location(s) where the work was performed, including the country (if other than the United States) and the state or province, county (if applicable), and city.

Item 11 Describe the nature and scope of the work. The objective is to shown how the work that you did or are doing is similar in nature and scope to the work that is to be performed under the contract contemplated by the request for proposals. Describe any unusual circumstances of performance or problems that may be relevant to the work that is to be performed. Tell your side of the story of any conflicts with the customer concerning which they may make adverse remarks about your performance. Describe any actions that you have taken or plan to take to correct any shortcomings in your performance.

Item 11a Insert the name, address, telephone number, and email address (if available) of the subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).

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