Screening Information Request Attachment 3 - Past Experience Information Form

Vendor Name (Prime Offeror):

Point of Contact Information:

Who was the vendor for this example?

Will this vendor serve as the prime contractor for the current requirement?

Contract Number and Order Number (if applicable):

Customer:

Customer Contracting Office Point of Contact Information:

Period of Performance:

Did the vendor serve as the prime contractor for this example?

Yearly commercial value of printer consumable sales:

Variety of brand names:

Contract value:

Narrative demonstrating example meets the size, scope and complexity requirements listed in the SIR under Factor 5 - Experience: Begin narrative on following page. Narrative must not exceed two pages. At a minimum the following areas must be addressed:
(i) Technical (quality of product or service) - The Contractor must describe past compliance with contract requirements and accuracy of orders and deliverables. (ii) Schedule/Timeliness - The Contractor must detail how it met deadlines, provided reliable delivery and process and delivery orders on time. (iii)Customer Satisfaction - The Contractor must describe satisfaction of customers with the Contractor’s service and product. (iv) Cost Control - The Contractor must describe past efforts to control costs.

Experience Example Narrative: