S02 - ATTACHMENT 7 - EXPERIENCE INFORMATION SHEET.DOCX
DOCX document 26 KB Posted
- Attached to
- Secure Medical Gas Farm
- Solicitation number
- 36C24822R0089
About this file
This document contains an experience information sheet for a construction contract solicitation to build a secure medical gas farm. The solicitation requests proposals to provide complete construction services, including participating in project planning meetings, pre-bid meetings, and pre-construction meetings. Offerors must demonstrate three relevant past project experiences on the experience information sheet, including details such as contract details, scopes of work, difficulties encountered and resolved, and pricing information. The solicitation number is 36C24822R0089 from the Department of Veterans Affairs for a medical gas farm. The site visit will be on May 3rd and requests for information are due May 6th, with price proposals due on May 27th.
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Other files
| File | Type | Posted |
|---|---|---|
| S02 - ATTACHMENT 4- PRICE MATRIX.XLSX | XLSX spreadsheet | |
| S02 - ATTACHMENT 2 _ WAGE DETERMINATION.TXT | TXT text file | |
| S02 - ATTACHMENT 3 - CONTRACT PROGRESS SCHEDULE.DOCX | DOCX document | |
| 36C24822R0089 Secure Medical Gas Farm.pdf | ||
| 0 0 Bound Design Analysis for Reference.pdf | ||
| S02 - ATTACHMENT 6 - EMR (1 PAGE).DOCX | DOCX document | |
| S02 - ATTACHMENT 5 PAST PERFORMANCE FORMS.PDF | ||
| S02 - ATTACHMENT 1 - PROJECT LOCATION.PDF |
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EXPERIENCE INFORMATION SHEET
36C24822R0089 Attachment 6
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 .