ATTACHMENT 3 Past Performance InfoSheet (Phase I)_REV 4 OCT 2023.docx

ATTACHMENT 3

FY23/24 Poland MATOC

PAST PERFORMANCE INFORMATION SHEET

PROJECT NO. _____, Page 1 of up to 4 pages (project number is taken from column 1 on Attachment 2) Must have at least 2 projects, more than 5 will not be evaluated. The Offeror as the prime contractor must have performed at least 2 of the 5 projects submitted for experience and 2 projects must be DB.

Project Name and Contract #/Unique Identifier:

Experience:

1. The location work was performed___________________________________

2. The day, month, and year work was completed; work must not be no earlier than six calendar years before the issueance date of the RFP: _______________

3. The award value/final cost of this project: Euros_________________________

4. Is this project more than 80% complete? ____ Yes ____ No If “No” explain percentage of completion, if not 75% complete for any reason, rating may be lower

5. Size of the project, differentiated square footage/sq. meters of new construction versus renovation (if project included both)

6. Do not provide a listing of existing or previous contracts, but rather provide detailed information of construction work for projects in at least one of the following categories, but work in more than one category may receive additional consideration:

1. Building renovations that include floors, doors, walls, windows, external facades, repairs to roofs;

1. Repair/replacement of major building systems such as electrical, mechanical, HVAC;

1. Civil work, that includes concrete/asphalt roads and pavements, earthwork, and drainage structures.

1. Environmental work, such as hazardous material abatement and disposal.

(Continue typing if required to provide more information up to 4 pages)

PAST PERFORMANCE INFORMATION SHEET

PROJECT NO. _____ Page 2

Offeror: A contractor and/or company submitting a proposal for this solicitation.

Prime Contractor: A contractor that performed at least 15% of the work, and managed all other work for the project.

Sub Contractor: A contractor that performed part of the project work, but did not manage the entire project.

Joint Venture: More than one contractor with a legal binding agreement to work together.

Key Subcontractor: A contractor that has signed a letter of commitment to perform work for the duration of the contract for the Offeror, and the Offeror is allowed to take credit for the Key Subcontractor’s experience the project.

7. Type and % of work that was self-performed by the Prime (See attachment 10 for formula to calculate self-perforamnce on submitted project)

8. Mark one of these selections:

Work was completed as the ____ Prime ____ Subcontractor ___ Joint Venture __ Key Subcontractor

a. No additional information is required for work performed as the Prime other than what is on Page 1 of this form.

b. If work was as a Joint Venture, explain the relationship of the company, which company performed the work, and how the work performed and the relationship provides an added benefit for experience.

c. If work was performed as a Key Subcontractor, explain how the work performed as a Key Subcontractor provides an added benefit for experience:

d. If work was as a Subcontractor, explain how the work performed as a Subcontractor is a benefit for experience such as, responsible for the work performed and managed the portion of work performed including submittals:

e. Ensure you provide a letter of commitment signed by both the Offeror and the TEAMING Subcontractor in order to obtain credit for the project work. Besides the signed letter, no additional information is required other than what is on Page 1 of this form.