Attachment 2 - Experience Form.pdf

SOURCE SELECTION SENSITIVE

SOURCE SELECTION SENSITIVE

SIR ATTACHMENT 2

(Gull Island Tech Refresh, SIR 6973GH-18-R-00241)

EXPERIENCE INFORMATION

(To be completed by Contractor)

1. Contractor:

Name:

Address:

2. Contract /Task Order(TO) /Purchase Order (PO) Number:

3. Contract/TO/PO Dollar Value:

4. Contract/TO /PO Status: Active Complete

Completion Date (w/ extensions):

5. Project Title:

Location:

6. Description - to include the role of the contractor on the project and specific responsibilities of the contractor in performance of the effort:

7. Project Owner or Project Manager for the Client – provide:

Name:

Address:

Telephone Number and E-mail: