36C24618R0176-006.docx

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Attached to
Project 590-14-112, SCI Crawlspace Emergent Structural Repairs Federal contract opportunity
Solicitation number
36C24618R0176
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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36C24618R0176 SOLICITATION ATTACHMENT B - CORPORATE EXPERIENCE FORM.docx

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CORPORATE PROJECT EXPERIENCE FORM

Please list your contracts in chronological order beginning with the most recent one. Offerors must provide a minimum of three (3) and a maximum of five (5) references of their choice of completed projects, similar in size and scope (minimum threshold: Projects where the principle objective was structural work/structural renovations to medical centers or large commercial buildings within the United States, with a total contract value exceeding $250,000) to the requirement being solicited.

Contract #1

1.Customer/Company Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

36C24618R0176

Contract #2

1.Customer/Company Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

Contract #3

1.Customer/Company Name
2. Customer’s Address
3.Name and Title of Point of Contact
4.Point of Contact’s Email Address
5.Point of Contact’s Phone Number
6.Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

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