S02 - Attach 6 Experience Information Sheet.docx
DOCX document 22 KB Posted
- Attached to
- Replace Electrical Panel Board in OR Federal contract opportunity
- Solicitation number
- 36C24823R0073
About this file
This document contains an experience information sheet template and details of a federal solicitation to replace electrical panel boards in operating rooms at a Veterans Affairs medical center. The experience information sheet template requests information on three past projects including contractor details, contract numbers and dates, work performed as prime or subcontractor, percentage of work performed, description of scope and responsibilities, performance details, pricing information, and termination details if applicable. The federal solicitation is to replace existing panel boards with isolated power systems and provide redundant power sources in ten operating rooms at the Miami VA Medical Center by the specified response and price proposal deadlines of January 17, 2023 and February 3, 2023 respectively. The work must maintain operating room functionality during construction according to the provided design documents. A site visit is scheduled for January 10, 2023 to review the scope.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 0001 - 36C24823R0073.docx | DOCX document | |
| S02 - Attach 11 Set of Drawings 4 of 4.pdf | ||
| S02 - Attach 13 Narrative Set 2 of 3.pdf | ||
| S02 - Attach 5 Past Performance Form.pdf | ||
| S02 - Attach 9 Set of Drawings 2 of 4.pdf | ||
| S02 - SOLICITATION 36C24823R0073.pdf | ||
| S02 - Attach 7 Price Matrix.xlsx | XLSX spreadsheet | |
| S02 - Attach 14 Narrative Set 3 of 3.pdf | ||
| S02 - Attach 1 Site Plan.pdf | ||
| S02 - Attach 12 Narrative Set 1 of 3.pdf | ||
| S02 - Attach 2 _ Wage Dtermination FL20220125 _9_29_22.pdf | ||
| S02 - Attach 8 Set of Drawings 1 of 4.pdf | ||
| S02 - Attach 10 Set of Drawings 3 of 4.pdf | ||
| S02 - Attach 15 Floor Plan.pdf | ||
| S02 - Attach 3 Limitations of Subcontracting .pdf | ||
| S02 - Attach 4 - EMR.docx | DOCX document |
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Text version
EXPERIENCE INFORMATION SHEET
36C24822R0003 Attachment 6
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of THREE (3) projects, more than 3 will not be evaluated; less than 3 may result in a lower rating.
a. Contractor Information of awarded contract (Firm Name, Address, DUNS Number and Cage Code, Phone number, POC Name, POC email, Company email)
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, Subcontractor, Joint Venture, Other (explain)
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).
EXPERIENCE INFORMATION SHEET
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 sheet for additional information, if necessary
EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 3
i. Describe any difficulties and/or obstacles encountered during performance; steps taken toward resolution
j. Describe unforeseen conditions 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:
original completion date, if not completed, projected completion date (mm/dd/yyyy)
l. Actual Completion Date (mm/dd/yyyy), and if not completed, why?
Actual Completion Date:
If not completed, Why?
m. Project is 50% or more complete? YES [ ] No [ ]. If “No” explain percentage of completion, if not 50% completed for any reason, rating may be lower.
n. The Offerors shall indicate if any of the contracts listed were 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:
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