S02 Attach 5 Experience Information Sheet 4 Pages.pdf
PDF 194 KB Posted
- Solicitation number
- 36C24826R0113
About this file
This is an Experience Information Sheet template used to document a contractor's relevant past performance on awarded federal contracts. The form requires contractors to provide comprehensive details about previously completed or ongoing projects to demonstrate their qualifications for current solicitations.
The template collects contractor information including firm name, address, DUNS number, and points of contact, along with contract details such as contract/task order number, award date, project title, and location. Contractors must identify whether they performed as prime contractor or subcontractor and specify the percentage of work performed. If serving as a subcontractor, complete information about the prime contractor must be provided, including DUNS number and CAGE code. The form requires identification of the awarding government agency and the contracting officer or procurement official's contact information, including name, title, email, and phone number.
The substantive portion of the form requires detailed descriptions of the project scope, the contractor's specific roles and responsibilities, and how the work performed is relevant to the solicitation being pursued. Contractors must document any difficulties, obstacles, or differing site conditions encountered during performance and explain resolution steps taken. The form requests performance period information including contract start date and original/projected completion dates, actual completion dates with explanations if incomplete, and confirmation of 100% project completion. Contractors must disclose any contract terminations and provide reasons. Finally, the form requires comparison of original contract price versus final contract price with explanations of any differences, including all modifications. A continuation page is provided for responses exceeding available space.
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Text version
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1
a. Contractor Information of Awarded Contract (Firm Name, Address, DUNS Number, Phone number, POC Name, POC e‐mail, Company e‐mail)
b. Contract and/or Task Order Number and Award Date (mm/dd/yyyy)
c. Project Title/Name and Location
d. Work Performed as: Prime Contractor or Subcontractor
e. Percent (%) of project work performed by your company.
f. If you work as subcontractor, who was the prime?
(Firm Name, Address, DUNS Number and Cage Code, Phone number, POC Name, POC email, Company email)
g. Government Agency/Company which awarded contract to offeror, and Contact Information, such Contracting Officer/Procurement Official/Point of Contract (Name, Title, Email, Phone Number).
PROJECT NO. [ ] Page 2
h. Description of project’s scope of work and the offeror’s specific roles and responsibilities in the project:
Describe work performed in sufficient detail to permit evaluation of project relevancy to this procurement. Detail how work performed is relevant to the effort required by the solicitation? Use continuation page for additional information, if necessary.
PROJECT NO. [ ] Page 3
i. Describe any difficulties and/or obstacles encountered during project performance; steps taken toward resolution
j. Describe differing site condition(s) occurrence(s) and how each were resolved.
k. Performance Period, including contract start date (mm/dd/yyyy), and original completion date, if not completed, projected date (mm/dd/yyyy)
Contract start date (mm/dd/yyyy): Original completion date (mm/dd/yyyy):
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
m. Attesting the example project is 100% complete? YES [ ]
n. The Offerors shall indicate if any of the example project provided was terminated and the type and reasons for the termination.
o. Original Contract Price (Award Amount), Final Contract Price (to include all modifications, if applicable), Explain Differences.
Original Contract Price: Final Contract Price:
Explain Differences:
PROJECT NO. [ ] Page 4
CONTINUATION PAGE:
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