S02 - Attachment 05 - Specialized Experience Form - 3 Pages - DB 672-19-709.pdf

PDF 446 KB Posted

Attached to
Z2DA--Upgrade Video Assessment Surveillance System Federal contract opportunity
Solicitation number
36C24826R0064
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 8

About this file

This is a Specialized Experience Form template used to document and evaluate a contractor's past project experience as part of a federal contract proposal submission. The form requires submission of exactly four (4) projects; submissions with more than four projects will not be evaluated, and fewer than four projects may result in a lower rating.

The form collects comprehensive project information across multiple sections. Section A requires contractor information including firm name, address, DUNS number, CAGE code, phone number, and point of contact details. Section B requests the contract or task order number and award date in mm/dd/yyyy format. Section C requires the project title and location. Section D specifies the contractor's role (prime contractor, subcontractor, joint venture, or other). Section E requires the percentage of project work performed by the offeror's company. Section F, applicable only to subcontractors, requests the prime contractor's complete information. Section G requires identification of the government agency that awarded the contract and contact information for the contracting officer or procurement official. Subsequent sections on pages two and three request detailed descriptions of the project scope and the offeror's specific roles and responsibilities, difficulties or obstacles encountered during performance and their resolution, unforeseen conditions and resolutions, performance period dates, actual completion status, percentage of project completion (with notation that projects less than 50% complete may receive lower ratings), contract termination information if applicable, and original versus final contract prices with explanations of any differences.

View the file

Other files for this federal contract opportunity

Show all 13

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SPECIALIZED EXPERIENCE FORM

SPECIALIZED EXPERIENCE INFORMATION SHEET

PROJECT NO. [ ] Page 1

Must have a total of four (4) projects, more than 4 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).

File details come from the government source that posted it. Updated .