36C25719Q0330-006.docx

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Attached to
New - CTX Elevator Service and Maintenance Federal contract opportunity
Solicitation number
36C25719Q0330
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

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36C25719Q0330 Attachment 5 - Corporate Experience Form CO.docx

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CORPORATE EXPERIENCE FORM

Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list on-going contracts that began more than 5 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 details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

Attachment 5 Corporate Experience Form 36C25719Q0330

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
7.Contract Term (Month and Years)
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 #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
7.Contract Term (Month and Years)
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.)

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