36C25618U0491-003.pdf

CORPORATE EXPERIENCE FORM

Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 10 years old. You can list ongoing contracts that began more than 10 years ago.

Contract #1

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Years)

From /_______ through ______/_________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

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

Contract #2

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation

Contract #3

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail the scope of works performed under this contract as indicated in the Solicitation