S02_RFP Attachment Specialized Experience Form 3 pages.pdf
PDF 96 KB Posted
- Solicitation number
- 36C24826Q0459
About this file
This is a Specialized Experience Form template used to document and evaluate a contractor's relevant past performance on federal contracts.
The form requires contractors to submit a minimum of three (3) projects but no more than five (5) projects to demonstrate specialized experience; submissions with fewer than three projects will receive lower ratings. For each project, contractors must provide comprehensive information including: contractor firm details (name, address, DUNS number, CAGE code, contact information); contract/task order number and award date; project title and location; role performed (prime contractor, subcontractor, joint venture, or other); percentage of work performed by the contractor's company; prime contractor information if applicable; and government agency/contracting officer contact information. The form requires detailed descriptions of the project scope of work and the offeror's specific roles and responsibilities, with explanation of how the work performed is relevant to the current solicitation requirements. Additional required information includes description of any difficulties, obstacles, and unforeseen conditions encountered during performance and resolution steps taken; performance period dates (start, original completion, and projected completion if applicable); actual completion date with explanation if incomplete; confirmation of 50% or more completion status; disclosure of any contract terminations with reasons; and original and final contract prices with explanation of any differences. Continuation sheets may be used for additional information as necessary.
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Text version
SPECIALIZED EXPERIENCE FORM
SPECIALIZED EXPERIENCE INFORMATION SHEET
PROJECT NO. [ ] Page 1 Must have a Minimum of THREE (3) projects, but no more than 5 will not be evaluated; less than 3 projects will 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 .