Amendmt_001_Attchmt_11_Experience-Past_Perf_Form_1.pdf

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Attached to
Replace Water System Piping & Appurtenances, LEWI Federal contract opportunity
Solicitation number
140P8319R0009
Issued by
Department of the Interior National Park Service

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Amendmt 001_Attchmt 11_Experience-Past Perf Form 1

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Solicitation No. 140P8319R0009, Amendment 001 - - Attachment no. 11

Experience & Past Performance (Form 1)

READ CAREFULLY: The purpose of this form is for the offeror to list construction projects performed during the past five (5) years that are similar to the work described in this solicitation. The number of projects listed shall not exceed ten and shall be numbered consecutively, beginning with the most recent project. Use this form to address your familiarity with the plans and specifications and with the competence criteria described in the

Solicitation Attachment no. 8, Section L.4, Part II. Include Area Codes with all telephone numbers and email address (if available). Fill in the information by typing or printing legibly. It is especially important that the offeror disclose instances in which their past performance may be considered by others to be less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the

Government, which could result in an unfavorable assessment of the offeror’s past performance record.

NAME OF CONTRACTOR/OFFEROR:

# PROJECT

NAME:

Project Location:

Name of Owner:

Address of Owner:

Telephone Number:

Project Value:

Dates of Construction:

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK

PERFORMANCE REMARKS

Solicitation No. 140P8319R0009, Amendment 001 - - Attachment no. 11

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK (continuation)

PERFORMANCE REMARKS (continuation)

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