Experience Information Form.pdf
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- Solicitation number
- 6973GH-26-R-00147
About this file
This is an Experience Information form to be completed by contractors documenting their relevant contract performance history.
The form captures essential details about a contractor's previous contract work, including the contractor's name and address, contract/task order/purchase order number, and the original dollar value along with any modifications. Contractors must indicate whether the contract is currently active or complete, along with the completion date including any extensions. The form requires documentation of the project title and location, followed by a detailed project description that specifically addresses the contractor's role on the project and their specific performance responsibilities.
Additionally, contractors must identify whether they served as a prime contractor or subcontractor on the project. The form concludes by requiring contact information for the project owner or project manager from the client organization, including their name, address, telephone number, and email address. This information serves to verify the contractor's experience and facilitate reference checks by the requesting agency or organization.
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Text version
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: $ Contract/TO/PO Dollar Value w/MOD’s: $
4. Contract/TO /PO Status: ☐ Active ☐ Complete Completion Date (w/extensions):
5. Project Title:
Location:
6. Project Description-- to include the role of the contractor on the project and specific responsibilities of the contractor in performance of the effort.
7. Did the contractor serve as the prime contractor or sub-contractor on this project? SELECT ONE
8. Project Owner or Project Manager for the Client –provide:
Name:
Address:
Telephone Number and E-mail:
File details come from the government source that posted it. Updated .