AMENDMENT 01 DRAFT SOL. ATTACH. 4 PROJECT REPORTING FORM.pdf
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- Attached to
- W912DY26RA030 OFFICIAL SOLICITATION_ AMENDMENT 2 FOR UTILITY MONITORING AND CONTROL SYSTEMS VI
- Solicitation number
- W912DY26RA030
About this file
This is a Project Reporting Form template for Solicitation #W912DY26RA030, titled "Utility Monitoring and Control Systems VI," issued by the U.S. Army Corps of Engineers (USACE).
The form is designed to collect detailed past performance information from offerors on projects completed within the last three years that demonstrate capability with similar types and scope of work. For prime contractors, the form requires documentation of project identification details (title, contract number, location, contracting agency), contract structure and pricing, contract dates and costs with optional period breakdowns, descriptions of systems installed (UMCS, HVAC, ESS, FAS, and SCADA), self-performed work with percentage of total cost, subcontracted work with vendor names and values, reference contact information, relevance to the immediate acquisition, contract performance evaluation ratings, and past performance metrics addressing schedule, budget, quality control, safety, and any problems or corrective actions. The form also captures termination history, cure notices, unexercised options, and liquidated damages assessments. For joint venture partners, key subcontractors, or other non-prime roles, the form requires additional sections documenting the offeror's subcontract amount and percentage of prime contract, work self-performed, and client or prime contact references. This template is not soliciting specific products or services but rather establishing a standardized format for offerors to submit relevant past performance examples as part of their proposal evaluation criteria.
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Text version
Utility Monitoring and Control Systems VI Solicitation # W912DY26RA030
Attachment 4 – Project Reporting Form
Project Tracking Number: of
Provide the following information to identify projects your company completed within the last three years that show capability with projects of similar type and scope in accordance with the Performance Work Statement. Use on form per project.
a. Project Title:
b. Name of Offeror:
c. Role of Offeror for this project (Prime, Joint Venture Partner, Key Subcontractor, Subcontractor, etc.):
d. Contract Number, Task Order Number (if applicable), 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., Types of Systems installed - UMCS, HVAC, ESS, FAS and
SCADA):
j. Detailed Description of Work Self-Performed as the Prime (to include percentage of total cost):
k. Describe any Work Subcontracted to Others as the Prime (to include names and values):
Attachment 4 – Project Reporting Form
l. Reference Contact Information (to include POC name, 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).
q. Offeror’s Subcontract Amount:
r. Subcontract Percentage of Total Prime Contract as listed in g) above:
s. Description of Work (e.g., Types of Systems installed - UMCS, HVAC, ESS, FAS and
SCADA):
t. Detailed Description of Work Self-Performed by the Offeror (to include percentage of total cost):
Attachment 4 – Project Reporting Form
u. Describe any Work Subcontracted to Others by the Offeror (to include names and values):
v. Reference (Client or Prime) Contact Information (includes POC name, phone, and email address):
File details come from the government source that posted it. Updated .