Amendment_3_-_J.P-2_Relevant_Experience_(PSC_Group)_Project_Template.pdf

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Alliant 2 Small Business (A2SB) Governmentwide Acquisition Contract (GWAC)
Solicitation number
QTA0016GBA0002
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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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