Attachment_3_Experience_Info_Sheet.docx

12456818R0012 Attachment 3

EXPERIENCE INFORMATION SHEET

(Adjust formatting as needed without changing the font, limited to two pages per contract.)

1. Contract/Subcontract No.: _________________________

2. Project Name & current POC information (name/job tite/phone#/e-mail):

3. Location work was performed: __________________________________

4. Date work was completed (must be within last 5 years): ______________

a. If work is still ongoing, date work was 50% completed: _____________

5. Final cost of this project: $_______________

6. Clearly describe what part of the work was performed by the firm for which the experience information is submitted. Provide dollar magnitude for each of the following categories if multiple categories are selected.

a. Building renovations, including floors, doors, walls, windows, and external facades:

12456818R0012 Attachment 3

EXPERIENCE INFORMATION SHEET

b. Repair/replacement of major building systems such as electrical, mechanical, and HVAC:

c. Civil work, including earthwork and drainage structures:

d. Environmental work:

7. Work was performed as a: Prime Joint Venture Subcontractor

SOLICITATION NUMBER: 12456818R0012

TITLE: Corvallis HVAC Replacement and Energy Upgrades