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Attachment 5 - Corporate Experience Form

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CORPORATE EXPERIENCE PROJECT DATA SHEET

#1 #2 #3 #4 #5 Offeror Joint-Venture Other (Explain)

Contact Phone Number:

2. Work Performed as:

Sub Contractor Joint Venture Other (Explain):

Percent of project work performed:

If subcontractor, who was prime (Name/Phone #):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

5. Type of Work:

New Construction Repair Other (Explain):

6. Type of Contract/Task Order: (Check ALL that apply)

Firm-Fixed Price

7. Award Amount: Final Price:

Type of Contract/Task Order:

8. Provide a detailed description of the project and the relevancy to the project requirements of this RFP:

9. Provide a detailed description of what work your firm self-performed on this project:

10. Other Information:

Cost/Time and Material Other (Explain):

Prime Contractor

Renovation Alternation

Project No. (check one):

1. Experience For:

Firm Name:

Address:

Point of Contact:

Sheet1

5 Type of Work New Construction Repair Other Explain Renovation Alternation:
6 Type of ContractTask Order Check ALL that apply FirmFixed Price CostTime and Material Other Explain:
7 Award Amount Final Price Type of ContractTask Order:
8 Provide a detailed description of the project and the relevancy to the project requirements of this RFP:
9 Provide a detailed description of what work your firm selfperformed on this project:
10 Other Information:
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