Attachment 0001 - Experience Reporting Form.pdf
PDF 120 KB Posted
- Attached to
- Initial Outfitting and Transition (IO&T) Facilities Support Services (FSS) Federal contract opportunity
- Solicitation number
- W912DY-19-R-0030
About this file
This document contains an experience reporting form and details of a federal contract opportunity for Initial Outfitting and Transition Facilities Support Services. The experience reporting form seeks details of relevant past project experience for offerors, including contract details, descriptions of work performed, subcontracting information, and performance ratings. The related federal contract opportunity is solicitation number W912DY-19-R-0030 issued by the Department of the Army Corps of Engineers Engineering Support Center Huntsville. It seeks to provide program and project management support for equipping and transitioning military healthcare and medical research facilities throughout the continental U.S., its territories, and various geographic locations overseas. Services include outfitting and transition support for new and renovated facilities to meet mission requirements for the Army Medical Command.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W912DY-19-R-0030_0006.pdf | ||
| W912DY-19-R-0030 0005.pdf | ||
| W912DY-19-R-0030 0004.pdf | ||
| Contractor Questions_IOT_04 Feb 2020.pdf | ||
| W912DY19R0030 0003.pdf | ||
| Contractor Questions_IOT_31 Jan 2020.pdf | ||
| W912DY-19-R-0030 0002.pdf | ||
| W912DY-19-R-0030-0001 (Amendment 0001) .15 Jan 2020.pdf | ||
| Attachment 0005- Small Business Commitment Document (003).pdf | ||
| Attachment 0002- Letter of Commitment (Key Personnel).pdf | ||
| Attachment 0003- Letter of Commitment (Key Subcontractor).pdf | ||
| W912DY-19-R-0030 13 Jan 2020.pdf | ||
| Attachment 0004- Past Performance Questionnaire.pdf |
Show all 13
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Text version
ATTACHMENT 0001
EXPERIENCE REPORTING FORM
W912DY-19-R-0030 Initial Outfitting & Transition (IO&T)
Project Experience Tracking Number: of
a. Project Title:
b. Name of Offeror:
c. Role of Offeror (Prime, Joint Venture Partner, Key Subcontractor, Subcontractor, etc.):
d. Contract Number and Location of Project:
e. Contracting Agency/Office:
f. Contract Type and Pricing Arrangement:
g. Contract Cost (to include breakdown of costs by optional performance period):
h. Contract Dates: Began: Completed:
i. Description of Work (e.g. IO&T Services at DoD and/or VA Medical Facilities, as well as commercial medical facilities):
j. Detailed Description of Work Self-Performed as the Prime (to include what trades & specialties directly provided. If the total is inclusive of commodities, the total should be broken by total services and total commodity.):
k. Describe any Work Subcontracted to Others as the Prime (to include names, addresses, and values):
l. Reference Contact Information (to include POC name, address, phone, and email address):
m. Describe how the work 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:
n. Contract Performance Evaluation Rating, if known:
o. Describe past performance in terms of schedule, budget, quality control, safety, problems (if any) and corrective actions taken relative to this project:
p. Were You Ever Terminated for Convenience or for Default, Issued a Cure or Show Cause Notice, Have an Option that was Not Exercised for Performance Reasons or Assessed Liquidated
Damages? If “yes”, provide explanation:
If the Role of the Offeror is Joint Venture Partner, Key Subcontractor, Subcontractor, etc. please continue to q) through w). Do not continue if the Role of the Offeror is Prime. Refer to your answer in c).
ATTACHMENT 0001
EXPERIENCE REPORTING FORM
W912DY-19-R-0030 Initial Outfitting & Transition (IO&T)
q. Offeror’s Subcontract Amount:
r. Subcontract Percentage of Total Prime Contract as listed in g) above:
s. Description of Work (e.g. IO&T Services at DoD and/or VA Medical Facilities, as well as commercial medical facilities):
t. Detailed Description of Work Self-Performed by the Offeror (to include what trades & specialties directly provided. If the total is inclusive of commodities, the total should be broken by total services and total commodity.):
u. Describe any Work Subcontracted to Others by the Offeror (to include names, addresses, and values):
v. Reference (Client or Prime) Contact Information (includes POC name, address, phone, and email address):
w. If work supported involves multiple facilities and types, identify the percentage of total facilities square footage attributed to medical treatment facilities.
File details come from the government source that posted it. Updated .