Att7_Experience Form_final.docx

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Attached to
Pathology Support for the National Institute of Environmental Health Sciences
Solicitation number
75N96025R0003
Issued by

About this file

This is a corporate experience form template (Attachment 8) designed to collect detailed information about an offeror's past performance on relevant contracts. The form requires contractors to provide project details including whether they served as prime or subcontractor, contract numbers, award/completion dates, contract types (Firm-Fixed Price or Cost Reimbursement), award amounts, and final prices.

The form is associated with solicitation 75N96025R0003 for Pathology Support Services at the National Institute of Environmental Health Sciences (NIEHS). It includes sections for describing project relevancy to the current RFP requirements and detailing work self-performed by the offeror. The template itself does not contain any specific contract requirements or completed information - it is simply a structured form for capturing past performance data from bidders.

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Text version

ATTACHMENT 8 – Experience Form

CORPORATE EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : #1 #2 #3

1. Experience for: Offeror Joint-Venture Other (Explain)

Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor 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:

Professional Services Studies and Assessments Other (explain):

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

Firm-Fixed Price Cost Reimbursement Other (explain):

7. Award Amount including all modifications: Final Price:

Note: Award amount includes value at award and amount added/deducted by modification and final price/cost.

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:

File details come from the government source that posted it. Updated .