Att_05_140P8419R0013_Relevant_Experience.docx
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- Solicitation number
- 140P8419R0013
About this file
This document contains a Relevant Experience Form template for offerors to demonstrate relevant past performance on federal contracts comparable to Repair Raw Water Supply and Intake Infrastructure for the Public Water System, Oregon Caves National Monument and Preserve. The form requests information on offerors' financial data, existing contract commitments, and relevant experience, including contract numbers, amounts, agency/owner contacts, performance periods, and descriptions of work relating to the project requirements. The related federal contract opportunity is solicitation number 140P8419R0013 to repair raw intake and install a new water main for the NPS in Oregon. The description provides additional context for the required repair of raw water supply and intake infrastructure for the public water system at the Oregon Caves National Monument and Preserve in Josephine County, Oregon.
Att 05_140P8419R0013_Relevant Experience
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Text version
ATTACHMENT NO. 05 Offeror: _____________________________
RFP NO. 140P8419R0013
RELEVANT EXPERIENCE FORM
Use this form to demonstrate your successful relevant jobs that compare favorably to the work offered in this project. Refer to the RFP Instructions for the Submission of Offers and Other Information (Section L of the Solicitation). List contracts and other pertinent work to describe how your experience is relevant to the requirements of this RFP. Use as many copies of this Form, or an equivalent, as may be required. Attach additional documents as needed.
PART I – FINANCIAL DATA
I.1 FINANCIAL DATA AS OF ________________ (date)
CURRENT ASSETS $_________________ Name of Bank: ____________________________
CURRENT LIABILITIES $_________________ Point of Contact: ____________________________
NET WORTH $_________________ Phone Number/Email: _______________________
PART II – EXISTING COMMITMENTS
II.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER/EMAIL:
DESCRIPTION OF WORK:
PERFORMANCE PERIOD:
II.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER/EMAIL:
PERFORMANCE PERIOD:
PART III – RELEVANT EXPERIENCE
III.1 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER/EMAIL:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.2 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER/EMAIL:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.3 CONTRACT NUMBER: AMOUNT:
AGENCY/OWNER:
CONTACT PERSON: PHONE NUMBER/EMAIL:
SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:
III.4 LARGEST CONTRACT IN THE PAST FIVE YEARS
CONTRACT NUMBER __________________________
CONTRACT AMOUNT __________________________
CONTRACT DATE __________________________
AGENCY/OWNER: __________________________
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