B09_Amendment_2_-_Attachment_13_-_Experience_Form_0002.docx
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- Solicitation number
- 140P3022Q0062
About this file
This document is a project experience form for evaluation purposes related to a federal contract opportunity for boiler replacement services. The form requests contact information for the offeror and details of up to five prior projects, including descriptions, contract numbers, locations, original and final contract amounts, client references, original and completion dates, whether the offeror served as prime contractor or subcontractor, any contract modifications and reasons, any time extensions and reasons, whether schedules were met, any disputes and reasons, and any instances of default and reasons. The related federal contract opportunity is solicitation number 140P3022Q0062 from the National Park Service for boiler replacement work at the National Capital Parks East Headquarters.
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Text version
Project Experience Form (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.
| $ |
| $ |
| NAME OF CLIENT/AGENCY |
| POINT OF CONTACT |
| TELEPHONE NO. |
| FACSIMILE NO. |
| 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 |
| 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)
| HAVE YOU EVER ENTERED INTO 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)
File details come from the government source that posted it. Updated .