S02 - Attachment 6 - Experience Information Sheet.pdf
PDF 797 KB Posted
- Attached to
- BB Renovate Lake Nona Building 1 Women's Health
- Solicitation number
- 36C24825R0058
About this file
The document is an Experience Information Sheet template for federal contract proposal submissions, designed to capture comprehensive details about a contractor's previous project experience. The three-page template requires offerors to provide extensive information including contractor contact details, contract numbers, project titles, work performed (prime/subcontractor status), specific roles and responsibilities, project challenges, performance periods, contract pricing, and completion status.
For the specific federal contract opportunity (Solicitation Number 36C24825R0058), the Department of Veterans Affairs is seeking professional Bid-Build construction services for renovating approximately 8,272 square feet of administrative space at the Orlando Veterans Affairs Healthcare System's Lake Nona facility. The renovation project involves work on Building 1, Level 4, focusing on Women's Health Clinic space and encompasses architectural, structural, mechanical, plumbing, electrical, and low-voltage systems modifications. The project requires a contractor to provide all necessary construction services, labor, materials, tools, equipment, and supervision in accordance with 100% design drawings and specifications.
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EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1
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).
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
ATTACHMENT G {3 PAGES}
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:
ATTACHMENT G {3 PAGES}
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