S02 - Attachment 03 - Specialized Experience Form (3 Pages).pdf
PDF 236 KB Posted
- Attached to
- Z2DA--Replace Self Closing Doors at MICU and CCU Federal contract opportunity
- Solicitation number
- 36C24824R0088
About this file
This document contains a template for submitting specialized experience information on previous federal contracts. The template requests details on three relevant past projects, including contractor information, contract numbers and award dates, project titles and locations, prime contractor or subcontractor role, work descriptions and responsibilities, performance periods and completion dates, difficulties encountered and resolutions, and pricing details.
The related federal contract opportunity is a solicitation to replace self-closing doors at two medical centers in Puerto Rico. The requirement is set aside for Service-Disabled Veteran-Owned Small Businesses. The solicitation seeks construction services and is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8 located in San Juan, Puerto Rico.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C24824R0088 0002 RFIs Reponses.docx | DOCX document | |
| 36C24824R0088 0001 (Exend due date).docx | DOCX document | |
| S02 - Attachment 06 - Subcontractor Past Performance Consent Form (2 Pages).pdf | ||
| S02 - Attachment 04 - Letter of Commitment Key Subcontractors (1 Page).pdf | ||
| 36C24824R0088 (BB 672-24-123) Replace Self Closing Doors.docx | DOCX document | |
| S02 - Attachment 05 - Past Performance Questionnaire (4 Pages).pdf | ||
| S02 - Attachment 02 - Contractor Safety and EMR (2 pages).pdf | ||
| S02 - Attachment 01 - Specifications 08342 (5 Pages).pdf |
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Text version
SPECIALIZED EXPERIENCE FORM
SPECIALIZED EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a total of three (3) projects, more than 3 will not be evaluated; less than 4 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).
VHASAJALVARA
Highlight
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:
File details come from the government source that posted it. Updated .