DRAFT_SECTION_J.5. _ATT._(5) _OASIS_SB_RELEVANT_EXPERIENCE_TEMPLATE.docx

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OASIS SB

REQUEST FOR INFORMATION

Section J.5., Attachment (5)

RELEVANT EXPERIENCE TEMPLATE

Reference Section L.5.3.1.

Note: Offeror’s must duplicate this template for submission of each of the Five (5) Distinct Projects

A. BACKGROUND: (See Section L.5.3.2.1.)

PROJECT IDENTIFICATON:

Contractor Name:
Click here to enter text.
Contract or Order Number:
Click here to enter text.
Project Title:
Click here to enter text.
Annual Dollar Value
Click here to enter text.
Total Award Value, including Options
Click here to enter text.
Total Period of Performance, including Options
Click here to enter text.

REFERENCE: (Person who can verify the data - Government Contracting Officer or Project Manager preferred)

Name:
Click here to enter text.
Title:
Click here to enter text.
Agency or Customer:
Click here to enter text.
Phone:
Click here to enter text.
E-Mail:
Click here to enter text.

TYPE OF CONTRACT: (Check only the predominate one):

|_| Fixed Price |_| Cost Reimbursement |_| Time and Materials or Labor Hour

TYPE OF CORE DISCIPLINES PERFORMED: (Check all that apply):

|_| Program Management |_| Management Consulting |_| Engineering

|_| Scientific |_| Financial Management |_| Logisitics

TYPE OF ANCILLARY SERVICES PERFORMED: (Check all that apply, if applicable):

|_| Information Technology |_| Davis Bacon Act (construction)

|_| Service Contract Act (non-professional services) |_| Other : (Fill in) _____________________________

ANCILLARY PRODUCTS PROVIDED?:

|_| No |_| Yes: (Fill in) _____________________________________________________________________

PLACE OF PERFORMANCE: (Check all that apply, if applicable):

|_| Multiple CONUS Locations: (Fill in)_________________________________________________________

|_| OCONUS : (Fill in)________________________________________________________________________

B. RELEVANT EXPERIENCE MATRIX: (See Section L.5.3.2.2.)

ELEMENTS:
DOCUMENT REFERENCE LABEL:
PAGE NUMBER(s):

Contract/Order Number

Offeror Identified as Prime Contractor

Type of Contract

Est./Actual Dollar Value of Contract per year

Type of Core Discipline Performed

- Program Management

- Management Consulting

- Logistics

- Financial

- Engineering

- Scientific

Ancillary Service Performed

- Information Technology

- Davis Bacon Act (construction)

- Service Contract Act (non-professional)

- Other: Identify________________________

Ancillary Products Provided

Place(s) of Performance

- Multiple CONUS Locations

- OCONUS

Labor Categories

C. ATTACH CONTRACTUAL AND PROPOSAL DOCUMENTS: (See Section L.5.3.2.3.)

Attach contract documents to substantiate the information in Paragraph B., Relevant Experience Matrix.

SOURCE SELECTION INFORMATION – SEE FAR 2.101 AND 3.104

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