S02 - Attachment 05 - Specialized.docx

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Attached to
Y1DA--FY26 NRM (PROJ: 573A4-26-110) DB - Climatize Building 78
Solicitation number
36C24826R0021-01
Issued by

About this file

The document is a Specialized Experience Form template for a federal contract opportunity with the Department of Veterans Affairs Veterans Health Administration. The form requires offerors to provide detailed information about three previous projects, including contractor details, contract numbers, project descriptions, performance periods, completion status, and contract pricing. Each project submission must comprehensively describe the scope of work, specific roles and responsibilities, encountered challenges, and relevance to the current procurement.

The related federal contract opportunity is for a design-build project to climatize Building 78, with Phase One proposals due on or before 12/05/2025. The solicitation (Number 36C24826R0021-01) is a Special Notice issued by the Veterans Integrated Service Network 8, seeking contractors with demonstrated experience in similar building climatization or renovation projects. The form emphasizes the importance of providing substantive project details, with warnings that incomplete or insufficient documentation may result in lower evaluation ratings.

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S02 -PHASE 1 SOL AMEND 36C24826R0021 0001.pdf PDF
PHASE RESPONSE TO RFI.pdf PDF

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SPECIALIZED EXPERIENCE FORM

SPECIALIZED EXPERIENCE FORM

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:

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