W912EF25QA028 - Offeror Experience Form (FAR 52.212-2).pdf
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- Solicitation number
- W912EF25QA028
About this file
The document is an Offeror Experience Form used to provide past performance information for a federal contract opportunity. The form is designed for contractors to detail their previous project experience, including project title, contract number, location, total contract value, phase dates, client information, project scope, the offeror's role and responsibilities, and the relevance of the reference project to the current solicitation. The form is part of the W912EF25QA028 solicitation for Lower Monumental Lock and Dam Elevator Maintenance Services, issued by the U.S. Army Corps of Engineers, Walla Walla District. Multiple blank copies of the form are included, allowing offerors to document several past performance references to demonstrate their capability and experience in providing elevator maintenance services.
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Text version
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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