Experience_&_Evaluation_Form.pdf

PROJECT EXPERIENCE FORM Attachment 2 (Offerors must complete this form for evaluation purposes)

NAME OF FIRM POINT OF CONTACT

TELEPHONE NO. FAX NO.

PRIOR PROJECT EXPERIENCE

(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)

PROJECT DESCRIPTION

(USE BLANK PAGE IF NECESSARY) CONTRACT/PROJECT

NO.

LOCATION

CONTRACT AMOUNT (ROUND

TO NEAREST DOLLAR)

ORIGINAL FINAL

1. $ $

2. $ $

3. $ $

4. $ $

5. $ $

NAME OF CLIENT/AGENCY POINT OF CONTACT TELEPHONE NO. FACSIMILE NO.

1.

2.

3.

4.

5.

ORIGINAL PROJECT DATES WERE YOU A PRIME CONTRACTOR

OR SUBCONTRACTOR?

WERE THERE

CONTRACT

MODIFICATIONS?

(YES/NO)

HOW MANY?

WHO INITIATED

THEM? CLIENT,

CONTRACTOR OR

BOTH? START COMPLETION

1.

2.

3.

4.

5.

WERE THERE ANY

TIME EXTENSIONS?

(YES/NO)

IF SO, INDICATE

NEW COMPLETION

DATE?

WAS THE

SCHEDULE MET?

(YES/NO)

IF NOT, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

1.

2.

3.

4.

5.

HAVE YOU EVER

ENTERED A

DISPUTE? (YES/NO)

IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

HAVE YOU EVER

BEEN DEFAULTED?

(YES/NO)

IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

1.

2.

3.

4.

5.