ATTACHMENT_B_-_EXPERIENCE_PP_REFERENCE.doc
DOC document 37 KB Posted
- Attached to
- Multiple Environmental Government Acquisition (MEGA)-Restricted Federal contract opportunity
- Solicitation number
- W912DY-16-R-0077
About this file
This document contains a past performance reference form for a federal contractor to provide details on relevant previous project experience. The form requests information on the name and location of the project, contract and task order numbers, whether the project was firm-fixed price or cost reimbursable, the offeror's role as prime or subcontractor, a brief description and contract values at award and completion, schedule details, and safety and business goals. It also includes fields for additional project details and references from the project owner and contracting officer.
The related federal contract opportunity is solicitation number W912DY-16-R-0077 for Multiple Environmental Government Acquisition (MEGA)-Restricted services through the Department of the Army Corps of Engineers Engineering Support Center Huntsville. Amendment 005 updates the evaluation criteria in section M of the solicitation but does not extend the closing date.
Experience Reference
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Text version
ATTACHMENT B
EXPERIENCE - PAST PERFORMANCE REFERENCE
(May be modified/formatted as needed but offeror’s proposal shall contain at a minimum all the information below. This form is not included in the page count.)
SOLICITATION NO. W912DY-16-R-0077
PROJECT EXPERIENCE FORM
Please provide a completed form for each project for which experience is being claimed (Offeror fills out this section).
Name of Offeror: __________________________________________________
Name of Project: __________________________________________________
Location of Project: ________________________________________________
Contract Number Project Performed Under: _______________________ Task Order Number: ________
Was the Project Firm-Fixed Price or Cost Reimbursable (including Time & Materials)? _____________________________________________________________________________________________
Was the offeror the prime contractor or subcontractor? __________________________________________
If the offeror was the prime contractor, please explain primary role/duties: ________________________
Brief Description of Project (Offeror can add attachment provided page count is not exceeded.) _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Contract Amount at Award: _____________________________________________
Final Contract Amount: ________________________________________________
Amount added by Modification: _________________________________________
Explanation of any Cost Growth/Overruns: _____________________________________________________
Multiple Interim Schedule Milestones (to include scheduled start date): ___________________________
Original Contract Completion Date: ____________________________________
Final Contract Completion Date: _______________________________________
Actual Completion Date: ______________________________________________
Time added by Modification: ___________________________________________
Explanation of any Late Finish: _______________________________________________________________
Additional Project Information (Offeror can add attachment provided page count is not exceeded): _____________________________________________________________________________________________
Was the project terminated early or were cure/show cause letters received? FORMCHECKBOX Yes FORMCHECKBOX No Explain early termination (default/convenience) or cure/show cause letters.
Safety record: ____ Accidents, ____ Incidents, ____Violations
List and explain any customer concerns or dissatisfaction
What were the SDB, WOB and small business percent goals in the original contract, if any? N/A________SDB:______ WOB: _____ Small Business: ______ HUBZONE: ______ SDVOSB: _______
What was the actual percent achieved at contract completion?
N/A______SDB: ______ WOB: _____ Small Business: _____ HUBZONE: ______ SDVOSB: _______
Was the project owner an agency of the federal government? FORMCHECKBOX Yes FORMCHECKBOX No
Name, address, email, and telephone number of the owner:
Name and telephone number of a representative of your firm who is knowledgeable of this project and can readily be contacted:
Name, address, email, and telephone number of a representative of the owner who is knowledgeable of this project and can be readily contacted:
Name, address, email, and telephone number of the Contracting Officer if project was for federal government:
File details come from the government source that posted it. Updated .