36C25619Q0703_1-002.pdf

Attachment A: 36C256-19-Q-0703

RELEVANT EXPERIENCE FORM

Please list your contracts in the chronological order beginning with the most recent one. Contracts shall be relevant to the Solicitation. Contracts listed cannot be more than 10 years old. You can list ongoing contracts that began more than five (5) years ago.

Contract #1

1. Customer 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. Estimated 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.)

Contract #2

1. Customer 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. Estimated Contract Value

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

Contract #3

1. Customer 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. Estimated Contract Value

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