S02 ATTACHMENT 3 - Specialized Experience Form.pdf
PDF 67 KB Posted
- Attached to
- N059--PROJECT 675-25-803, Design-Build (DB) Replace Inverters at Viera Outpatient Clinic
- Solicitation number
- 36C24826Q0106
About this file
The document is a Specialized Experience Form template designed for contractors to provide detailed information about past project experience when bidding on a federal contract. The form requires contractors to submit information for exactly three projects, with a warning that submitting more than three will not be evaluated and fewer than three may result in a lower rating.
The multi-page form captures comprehensive project details including contractor information, contract/task order numbers, project titles, roles performed (prime/subcontractor), percentage of work completed, government agency details, project scope, specific roles and responsibilities, performance challenges, contract dates, completion status, contract pricing, and any contract terminations. Each project must be described in sufficient detail to demonstrate relevance to the current procurement, with instructions to explain how the work performed relates to the effort required by the solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C24826Q0106_1.docx | DOCX document | |
| S02 ATTACHMENT 5 - Past Performance Questionnaire.docx | DOCX document | |
| S02 ATTACHMENT 6 - Base Offer Price Breakdown.xlsx | XLSX spreadsheet | |
| S02 Solicitation 36C24826Q0106.pdf | ||
| S02 ATTACHMENT 1 - DBA Wage Determination FL20260196 01.02.2026.pdf | ||
| S02 ATTACHMENT 4 - EMR.pdf | ||
| S02 ATTACHMENT 2 - Limitation of Subcontracting Certificate.pdf |
On GovTribe
Work with this file
- 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 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 .