Attachment_1_Recent_Relevant_Experience_Data_Sheet_121418.docx

ATTACHMENT 1: RECENT, RELEVANT EXPERIENCE DATA SHEET

RECENT, RELEVANT EXPERIENCE DATA SHEET

RFP #

The purpose of this form is to provide supporting project information for Past Performance. This form is to be completed by the Offeror.

1. Project No. (check one): |_| - 1 |_| - 2 |_| - 3 |_| - 4 |_| - 5

2. Contract Number, Delivery/Task Order Number, Project Number, Title, and Location:

3. Award Date (mm/dd/yy):

Completion Date (mm/dd/yy):

Is project 100% complete:

|_| Yes |_| No

4. Award Amount:

Final Contract Price (including all options):

Is this the |_| total project or |_|subcontract price

5. Type of work:

|_| Operation and Maintenance Service that includes (check all that apply):

|_|Facilities and Operations |_| Housing |_| Supply |_| Renovation |_| Transportation |_| Recreation

|_| Government Liaison Services

|_| Security Services

6. Type of Contract:

|_| Firm-Fixed Price |_| Indefinite Quantity/Delivery |_| Other (explain):

7. Firm Who Performed the Work: (check one)

|_| Contractor |_| Sub Contractor

Firm’s Name:

If your firm was a subcontractor on this project, identify the prime:

8. Customer/Owner Information:

Customer Name:

Point of Contact:

Phone Number:

FAX Number:

E-mail address:

9. If this project was performed by key personnel, a subsidiary, satellite office, or parent company, explain how this office/person will participate in this contract.

10. Provide a detailed description of the project:

11. Provide a detailed description of what work your firm self-performed on the project:

12. Was the project completed within the original schedule? If not, explain why.

13. Were there any safety-related incidents? Provide a description of the incidents and the resultant time lost. Also include what corrective actions were taken.

14. Provide the final performance rating received for this project. If the rating received was less than Satisfactory, then provide a brief description of the problem(s) resulting in this evaluation and what corrective action, if any, was taken.

15. Attach any legible copies or photographs of industry awards/special recognitions, etc., received for this project.

When complete, the information on this form is SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly

When complete, the information on this form is SOURCE SELECTION INFORMATION (41 U.S.C. 423) and shall be protected accordingly