Attachment_1_-_Experience_Reporting_Form.docx
DOCX document 16 KB Posted
- Attached to
- Utility Monitoring and Control Systems - UMCS
- Solicitation number
- W912DY-17-R-0014
About this file
This document contains an experience reporting form for federal contractors to submit past project experience. The form requests details on previous contracts such as contract number, type, pricing, system installed, client references, offeror's role and work performed, subcontractors used if any, dates, and performance ratings. It relates to solicitation number W912DY-17-R-0014 from the Department of the Army Corps of Engineers Engineering Support Center Huntsville for utility monitoring and control systems including HVAC, SCADA, fire alarm, security, and other automated control systems worldwide. Offerors are to use this form to provide details on relevant prior contracts demonstrating experience with similar scope to the solicitation.
ERF form updated
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_0002.pdf | ||
| Exhibit_B_-_Specifications.pdf | ||
| Attachment_3_-_Sample_Task_Order_(rev._0.b).pdf | ||
| Attachment_8_-_Questions_and_Answers_from_ProjNet.pdf | ||
| Attachment_5-_Small_Business_Commitment_Document.docx | DOCX document | |
| Amendment_1_to_RFP.pdf | ||
| Exhibit_A_CDRL_List_.pdf | ||
| ATTACHMENT_7.pdf | ||
| ATTACHMENT_3.pdf | ||
| ATTACHMENT_5.pdf | ||
| ATTACHMENT_2.pdf | ||
| W912DY-17-R-0014.pdf | ||
| ATTACHMENT_4.pdf | ||
| ATTACHMENT_6.pdf | ||
| ATTACHMENT_1.pdf |
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Text version
ATTACHMENT 1
EXPERIENCE REPORTING FORM
Tracking Number: Form No. of ____ (e.g. 1 of 12)
Provide the following information to identify projects your company completed within the last five years that show experience with projects of similar type and scope. Use one form per project.
a. Does the experience claimed on this form derive from projects that were executed using native, in-house skills and resources? _____Yes _____No
b. If the experience claimed is from other sources (you answered “no” above), check the appropriate box below which most closely identifies the relationship:
_____ Teaming Arrangement _____ Partnership _____ Sub-Contractor
c. Name of Offeror: __________________________________________________________________________
d. Contract Number, Title and Location of Project: ________________________________________________________________________
e. Contract Type and Pricing Arrangement: ________________________________________________________________________
f. Type of System Installed (e.g. UMCS, HVAC, ESS, FAS, and SCADA) ________________________________________________________________________________________________________________________________________________
g. Reference (Client) Contact Information (includes POC name, address, phone, and email address):
h. Describe how the contract referenced is relevant to the immediate acquisition. If only portions of the contract are relevant, specify which portions of the contract are relevant to the immediate acquisition: ________________________________________________________________________________________________________________________________________________________________________________________________________________________
i. Describe your Role (Prime, Joint Venture, or Subcontractor, etc.): _________________________________________________________________________
j. Your Contract or Subcontract Amount: $__________________________________________________________________________
k. Detailed Description of Your Self-Performed Work (include percentage of total cost):
l. Describe any Work You Subcontracted to Others (include names, addresses, and values):
m. Dates Your contract: Began: ____________ Completed: __________
n. Your Performance Evaluation Rating, if known: ___________________________________
o. Were you ever issued a Cure or Show Cause Letter? _____ Yes _____ No If “yes”, provide explanation: __________________________________________________
p. Were you Terminated or Assessed Liquidated Damages? _____ Yes _____ No.
If “yes”, provide explanation: __________________________________________________
File details come from the government source that posted it. Updated .