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36C25920Q0293 Standards of Responsibility.docx

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SAMPLE TEMPLATE: Special Standards of Responsibility Specialized Experience #1

Contracting activity (i.e. Corporation, company or agency), point of contact, email and phone number:

Place of performance:

Dates of performance:

Total dollar value:

Contract number (if applicable):

Prime contractor and a description of their performance:

Each subcontractor and a description of their performance:

Brief description of service – as a minimum include size of facility:

Specialized Experience #2

Contracting activity (i.e. Corporation, company or agency), point of contact, email and phone number:

Place of performance:

Dates of performance:

Total dollar value:

Contract number (if applicable):

Prime contractor and a description of their performance:

Each subcontractor and a description of their performance:

Brief description of service – as a minimum include size of facility:

Specialized Experience #3

Contracting activity (i.e. Corporation, company or agency), point of contact, email and phone number:

Place of performance:

Dates of performance:

Total dollar value:

Contract number (if applicable):

Prime contractor and a description of their performance:

Each subcontractor and a description of their performance:

Brief description of service – as a minimum include size of facility:

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