Specialized Experience Form 3 Pages.pdf
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- Solicitation number
- 36C24826R0085
About this file
This is a Specialized Experience Form template used to document contractor qualifications for federal contract proposals. Offerors must submit exactly three (3) completed project examples; submissions with fewer than three projects may receive lower ratings, while those exceeding three projects will not be evaluated. Each project submission requires comprehensive documentation across multiple information sheets.
The form requires detailed contractor information including firm name, address, DUNS number, CAGE code, contact details, and points of contact for each project. Offerors must provide contract/task order numbers, award dates, project titles and locations, and specify their role (prime contractor, subcontractor, joint venture, or other). The submission must identify the percentage of project work performed by the offeror's company and, if applicable, provide complete prime contractor information. Additionally, offerors must supply government agency details and contracting officer contact information for the awarding agency. The form requires a detailed description of the project scope, the offeror's specific roles and responsibilities, and relevance to the current solicitation. Performance documentation must include contract performance period dates, actual completion dates, identification of any difficulties, obstacles, or unforeseen conditions encountered and their resolutions, completion percentage status (with notation if less than 50% complete), contract termination information if applicable, and original versus final contract pricing with explanations for any modifications or price differences.
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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:
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