W912EF25QA022 Offeror Experience Form IAW FAR 52.212-2.pdf

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Attached to
Ice Harbor Lock and Dam Elevator Maintenance Services
Solicitation number
W912EF25QA022
Issued by

About this file

The document is an Offeror Experience Form template designed for capturing past performance information for a federal contract opportunity. The form provides a structured format for offerors to document detailed project references, including project title, contract/project number, project location, total contract value, phase dates, customer/client contact information, project scope, the offeror's role and responsibilities, and a description of the project's relevance to the current solicitation. The multi-page document consists of identical blank forms, which allows an offeror to submit multiple project references to demonstrate their experience and capability in meeting the solicitation's requirements.

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OFFEROR EXPERIENCE FORM

Factor Title: Past Performance

Name of Offeror: _____________________________________________________

Project Title: ________________________________________________________

Contract/Project Number: ______________________________________________

Project Location: _____________________________________________________

Total Contract Value: $_________________________

(Final value if completed, current value if not completed)

If Offeror performed as Subcontractor, Value of Subcontract: $_________________

Phase Start Date: ___________________________________________________

Phase Completion Date:______________________________________________

(Actual date if project has been completed, anticipated date if project is not complete)

Name of Customer/Client:_____________________________________________

Telephone Number of Customer/Client:___________________________________

Email Address of Customer/Client:______________________________________

Description of Project’s Scope:

Offeror’s role and responsibility during construction of the project: (Indicate whether your firm performed as a prime or subcontractor.)

Describe the relevancy of the reference project with the scope required in this solicitation:

Name of Offeror: _____________________________________________________

Project Title: ________________________________________________________

Contract/Project Number: ______________________________________________

Project Location: _____________________________________________________

Total Contract Value: $_________________________

(Final value if completed, current value if not completed)

If Offeror performed as Subcontractor, Value of Subcontract: $_________________

Phase Start Date: ___________________________________________________

Phase Completion Date:______________________________________________

(Actual date if project has been completed, anticipated date if project is not complete)

Name of Customer/Client:_____________________________________________

Name of Offeror: _____________________________________________________

Project Title: ________________________________________________________

Contract/Project Number: ______________________________________________

Project Location: _____________________________________________________

Total Contract Value: $_________________________

(Final value if completed, current value if not completed)

If Offeror performed as Subcontractor, Value of Subcontract: $_________________

Phase Start Date: ___________________________________________________

Phase Completion Date:______________________________________________

(Actual date if project has been completed, anticipated date if project is not complete)

Name of Customer/Client:_____________________________________________

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