6973GH_19_R_00106_SIR_Phase_I_Attachment_3 Organizational Experience Form.pdf

SIR #6973GH-19-R-00106 Phase I and II

Attachment 3

Organizational Experience Questionnaire

OFFEROR EXPERIENCE INFORMATION

(To be completed by Offeror)

1. Offeror:

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

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

Name:

Address:

Telephone Number and E-mail: