SIR Attachment 3 - Past Experience Information Form 05-18-2026.docx

39 KB Posted

Attached to
Printer Consumables for the Strategic Sourcing for the Acquisition of Various Supplies and Equipment (SAVES) Program
Solicitation number
697DCK-25-R-00368
Issued by

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This is a Past Experience Information Form template designed for offerors responding to the FAA's printer consumables solicitation (697DCK-25-R-00368). The form is used to document and demonstrate an offeror's relevant past performance and experience qualifications for the contract award evaluation.

The form serves as an appendix to the Screening Information Request (SIR) and functions as a standardized template for capturing past experience details rather than prescribing specific products or services. Offerors are required to complete this form to substantiate their capability to perform under the five-year IDIQ contract for toner and printer consumables (750+ items). The form supports the FAA's Lowest Priced, Technically Acceptable (LPTA) evaluation methodology by allowing the government to assess offeror qualifications and historical performance relevant to this small business set-aside requirement under NAICS 325992. Submission of this completed form is mandatory for offerors seeking consideration for the single-award contract with a base year plus four one-year ordering periods.

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Other files

File Type Posted
SIR Attachment 3 - Past Experience Information Form_REVISED 10-06-26 for Amendment 0003.docx DOCX document
SIR Attachment 5 - Proposal Checklist_REVISED 10-06-26 for Amendment 0003.pdf PDF
SOW Attachment IV - Printer Consumables List - REVISED FINAL updated 09-29-26 for Amendment 0003.xlsx XLSX spreadsheet
21- Amendment 0003_697DCK-25-R-00368.0003 Signed.pdf PDF
SAVES Print Questions Answers_697DCK-25-R-00368_Amendment0003.pdf PDF
SIR Attachment 2 Pricing Model Evaluation Worksheet -REVISED FINAL updated 09-29-26 for Amendment 0003.xlsx XLSX spreadsheet
SIR Attachment 4 - Past Performance Questionnaire_REVISED 10-06-26 for Amendment 0003.docx DOCX document
SIR Attachment 3 - Past Experience Information Form_rev.09172026_Amend0002.docx DOCX document
SIR Attachment 7_ SAVES NMR Waiver_FE_Amend0002.pdf PDF
SIR Attachment 6 - Invoice Sample_Amend0002.xlsx XLSX spreadsheet
21- Amendment 0002_697DCK-25-R-00368.0002_Signed.pdf PDF
SAVES Print Questions Answers_697DCK-25-R-00368 _Amendment0002.pdf PDF
21- Amendment_697DCK-25-R-00368.00001 Executed.pdf PDF
SOW Attachment II CONUS Quote Response (CONUS Template).xlsx XLSX spreadsheet
SIR Attachment 5 - Proposal Checklist_08112026.pdf PDF
06- SIR_697DCK-25-R-00368_final_08112026.pdf PDF
SOW Attachment V Monthly Activity Report (MAR) Template.xlsx XLSX spreadsheet
SIR Attachment 2 Pricing Model Evaluation Worksheet - REVISED FINAL - 08-06-26.xlsx XLSX spreadsheet
SIR Attachment 1_Printer Consumables SOW - 05-20-26.pdf PDF
SOW Attachment III OCONUS Quote Response (OCONUS Template).xlsx XLSX spreadsheet
SOW Attachment IV - Printer Consumables List.xlsx XLSX spreadsheet
SIR Attachment 4 - Past Performance Questionnaire_08112026.docx DOCX document
SOW Attachment I Quote Request Form (CONUS and OCONUS) Template.xlsx XLSX spreadsheet
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Attachment 3 (SIR # 697DCK-25-R-00368)

FACTOR 5 – PAST EXPERIENCE INFORMATION FORM

Vendor Name (Prime Offeror):

Point of Contact Information:

Who was the vendor for this example?

Will this vendor serve as the prime contractor for the current requirement?

Contract Number and Order Number (if applicable):

Customer:

Customer Contracting Office Point of Contact Information:

Period of Performance:

Did the vendor serve as the prime contractor for this example?

Yearly commercial value of printer consumable sales:

Variety of brand names:

Contract value:

Narrative demonstrating example meets the size, scope and complexity requirements listed in the SIR under Factor 5 - Experience:

Begin narrative on following page. Narrative must not exceed two pages.

At a minimum the following areas must be addressed:

(i) Technical (quality of product or service) - The Contractor must describe past compliance with contract requirements and accuracy of orders and deliverables.

(ii) Schedule/Timeliness - The Contractor must detail how it met deadlines, provided reliable delivery and process and delivery orders on time.

(iii)Customer Satisfaction - The Contractor must describe satisfaction of customers with the Contractor’s service and product.

(iv) Cost Control - The Contractor must describe past efforts to control costs.

Experience Example Narrative:

RFP/SIR # 697DCK-25-R-00368

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