S02 - Attachment 03 - Specialized Experience Form - 3 pages.pdf
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- Solicitation number
- 36C24826R0133
About this file
This is a Specialized Experience Form template used by federal contractors to demonstrate relevant project experience as part of proposal submissions to government procurements.
The form requires contractors to document exactly three (3) projects, with submissions containing more than three projects not evaluated and fewer than three potentially resulting in lower ratings. For each project, contractors must provide comprehensive information including: contractor details (firm name, address, DUNS number, CAGE code, contact information); contract/task order number and award date; project title and location; work role (prime contractor, subcontractor, joint venture, or other); percentage of work performed by the company; prime contractor information if applicable; and government agency/contracting officer contact details. The form additionally requires detailed descriptions of project scope, the offeror's specific roles and responsibilities, relevance to the current solicitation, difficulties and obstacles encountered with resolution steps, unforeseen conditions and their resolution, performance period with contract start and completion dates, actual completion date with explanation if incomplete, project completion percentage (with notation that projects less than 50% complete may receive lower ratings), contract termination status if applicable, and original versus final contract pricing with explanation of any differences. Continuation sheets are permitted for additional information as necessary.
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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 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:
File details come from the government source that posted it. Updated .