Appendix B - Offeror Experience Project Data Sheet.docx

Appendix B – Offeror Experience Project Data Sheet

Instruction: Provide the following information on projects to demonstrate recent and relevant experience. One project per data sheet. These data sheets are included in NCF1’s page limitation.

APPENDIX B

OFFEROR EXPERIENCE PROJECT DATA SHEET

Offeror Name:

Project Submission Number:

Short Project Title:

Project Description:

Performance Location(s):

Work Performed by:

…which performed as a: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain):

Percent of project work performed:

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

Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Labor Hour |_| Hybrid/Other (specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences (if early or late CCD, why):

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences (if a cost increase or decrease, why):

4. Project Description:

Complexity of Work High Med Routine (circle or mark one)

How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

CLIENT INFORMATION

5. Client Information (purchaser or administrator, CO/KO, COR, etc) Agency/Department:

Name:

Title:

Phone Number:

Email Address:

6. Describe the client’s role in the project: