Amendment_3_-_J.P-2_Relevant_Experience_(PSC_Group)_Project_Template.pdf
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- Solicitation number
- QTA0016GBA0002
- Issued by
-
GSA Federal Acquisition Service
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Amendment 3 - J.P-2 Relevant Experience (PSC Group) Project Template
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Alliant 2 Small Business GWAC Solicitation No.: QTA0016GBA0002
J.P-2 Relevant Experience (PSC Group) Project Template
ATTACHMENT J.P-2
RELEVANT EXPERIENCE (PSC GROUP) PROJECT TEMPLATE
PART I: PROJECT IDENTIFICATION
CONTRACTOR NAME:
CONTRACT NUMBER:
ORDER NUMBER (if applicable):
PROJECT TITLE:
CUSTOMER NAME:
TOTAL PERIOD OF PERFORMANCE,
INCLUDING OPTIONS: (MM/YYYY -
MM/YYYY or MM/YYYY – Present)
PROJECT VALUE:
FUNDING AGENCY ID (if applicable):
COST-REIMBURSEMENT: Project was cost-reimbursement, including any of the cost type definitions under FAR Subpart 16.3
FAIR OPPORTUNITY TASK ORDER
AGAINST A MULTIPLE AWARD IDIQ
FEDERAL GOVERNMENT CONTRACT
FOREIGN LOCATIONS: Project involved work in a foreign location Is this project from an existing or previous contractor teaming arrangement in accordance with Section L.5.1.5.3 and submitted Attachment J.P-7 (Contractor Teaming Arrangement Template)?
PSC GROUP PROJECT IDENTIFIER:
(Choose One) PSC: (Choose One)
PART II: PROJECT REFERENCE INFORMATION
Contracting Officer (or Corporate Official for Commercial Experience)
NAME:
TITLE:
AGENCY or CUSTOMER:
PHONE:
E-MAIL:
Contracting Officer’s Representative (Complete only if COR providing signature verification in Part IV)
NAME:
TITLE:
AGENCY:
PHONE:
E-MAIL:
Yes No
Yes No
Yes No
Yes No
J.P-2 Relevant Experience (PSC Group) Project Template
PART III: PROJECT DESCRIPTION
J.P-2 Relevant Experience (PSC Group) Project Template
PART IV: PROJECT VERIFICATION METHOD
VERIFICATION METHOD: (Check all that apply)
FPDS-NG record (attached) Signature below by reference identified in Part II
Signature below by a Contracting Officer, Contracting Officer’s Representative, or Corporate Official for the ordering activity constitutes acceptance of the above project information to be accurate as ordered and received by the listed entity. Signature by COR must include copy of email notification to the cognizant Contracting Officer.
NAME:
DATE:
SIGNATURE:
| CONTRACTOR NAME: |
| CONTRACT NUMBER: |
| ORDER NUMBER i f appl i cab l e: |
| PROJECT TITLE: |
| CUSTOMER NAME: |
| TOTAL PERIOD OF PERFORMANCE INCLUDING OPTIONS MMYYYY MMYYYY or MMYYYY Present: |
| PROJECT VALUE: |
| FUNDING AGENCY ID f app cab e: |
| NAME: |
| TITLE: |
| AGENCY or CUSTOMER: |
| PHONE: |
| EMAIL: |
| NAME_2: |
| TITLE_2: |
| AGENCY: |
| PHONE_2: |
| EMAIL_2: |
| PART III PROJECT DESCRIPTION: |
| NAME DATE: |
| Choose PSC Group Project from drop-down list: [Choose PSC Group Project from drop-down list.] |
| Yes: Off |
| No: Off |
| Yes2: Off |
| Yes3: Off |
| No3: Off |
| No2: Off |
| No4: Off |
| Yes4: Off |
| Dropdown10: [Choose PSC from drop-down list.] |
| PART III PROJECT DESCRIPTION Continued: |
| Check Box11: Off |
| Check Box12: Off |
| Date: |
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