Work Experience Reference Sheet.pdf

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Attached to
DFAC Bldg. 780 Fire Alarm System Modernization
Solicitation number
W912CN-26-Q-A050
Issued by

About this file

This is a Work Experience Information form template (Attachment 0001) for solicitation W912CN-26-Q-A031 issued by the U.S. Army Corps of Engineers. The form is designed to collect past performance data from offerors responding to a requirement for Elevator Preventive Maintenance and Repairs services. Offerors must complete a separate form for each relevant work experience, limiting references to contracts performed within two years preceding the solicitation issue date.

The form requires offerors to provide comprehensive project details including the vendor name, customer/reference contact information (phone, fax, email), contract number, project title, and a detailed scope of work description. Offerors must document the period of performance for the base year and up to four option periods, along with corresponding contract amounts for each period and the total contract value. Section 8 of the form requires offerors to submit a narrative explaining how the referenced work experience is relevant to the current requirement, specifically addressing the nature, scope, size, magnitude, and complexity of the services performed. Offerors are responsible for reproducing copies of this form as needed for their proposal submission.

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W912CN-26-Q-A031

ATTACHMENT 0001

WORK EXPERIENCE INFORMATION

Elevator Preventive Maintenance and Repairs

NOTE: The offeror is responsible for reproducing copies of this form. Limit to references within the past two (2) years preceding the solicitation issue date.

1. Offeror/Vendor Name: ________________________________________________________

2. Name of Reference/Customer: _________________________________________________________

3. Phone No.: ________________________ Fax No.: _________________

Email: _______________________________________________

3. Contract Number: _____________________________________

4. Project Title: ________________________________________

5. Brief Description of Scope of Work: ____________________________________________________

6. Period of Performance:

Base Year: ____________________________ 1st Option: ____________________________ 2nd Option: ____________________________ 3rd Option: ____________________________ 4th Option: ____________________________

7. Contract Amount:

Base Year: $ __________________ 1st Option: $ __________________ 2nd Option: $ __________________ 3rd Option: $ __________________ 4th Option: $ __________________

Total: $ __________________

8. Discuss and provide a narrative of how the services performed in this work experience information are relevant to this requirement in terms of nature, scope, size, magnitude and complexity.

1254485450.CIV

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1254485450.CIV

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1254485450.CIV

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OfferorVendor Name:
Name of ReferenceCustomer:
Phone No:
Fax No:
Email:
Contract Number:
Project Title:
Brief Description of Scope of Work:
5 1:
5 2:
5 3:
5 4:
5 5:
5 6:
5 7:
Base Year:
1st Option:
2nd Option:
3rd Option:
4th Option:
undefined:
undefined_2:
undefined_3:
undefined_4:
undefined_5:
undefined_6:
relevant to this requirement in terms of nature scope size magnitude and complexity 1:
relevant to this requirement in terms of nature scope size magnitude and complexity 2:
relevant to this requirement in terms of nature scope size magnitude and complexity 3:
relevant to this requirement in terms of nature scope size magnitude and complexity 4:
relevant to this requirement in terms of nature scope size magnitude and complexity 5:
relevant to this requirement in terms of nature scope size magnitude and complexity 6:
relevant to this requirement in terms of nature scope size magnitude and complexity 7:

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