18Q0002_-_Attachment_2_-_29_Mar_2018.docx

19WHAR18Q0002 ATTACHMENT 2

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104

WHEN COMPLETED, FOR OFFICIAL USE ONLY

19WHAR18Q0002 – ATTACHMENT 2

CORPORATE EXPERIENCE REFERENCE TEMPLATE

COMPANY NAME:

COMPANY DUNS:

COMPANY CAGE CODE:

CONTRACT REFERENCE INFORMATION

Customer Identification: Include name, address, email, and telephone number of customer

Name of entity performing the work:

Full address and DUNS / CAGE numbers of entity performing the work:

Contract Number:

Total Contract Value:

Type of Contract (FFP, CPFF, T&M, etc.):

Date Work Started:

Date Work Concluded:

Place of performance:

USE OF SUBCONTRACTORS / PARTNERS

List the name, address, and DUNS number of any subcontractors or partners utilized in performing the above services.

For each subcontractor / partner listed describe the work performed by each.

PRODUCTS AND SERVICES

Type of Fuel Delivered (list separately each type):

Quantity Delivered (list separately for each type of fuel):

Applicable Quality Standards (list separately for each type of fuel):

Delivery Location(s)

Method(s) of Delivery:

SOURCE SELECTION INFORMATION - SEE FAR 2.101 AND FAR 3.104

WHEN COMPLETED, FOR OFFICIAL USE ONLY