Att8_Experience Form.docx
DOCX document 37 KB Posted
- Solicitation number
- 75N96025R00002
About this file
The provided document is an Experience Form template for a federal contract opportunity. The key details are:
The contract opportunity is for Quality Assessment Support for the National Institute of Environmental Health Sciences (NIEHS) under Solicitation Number 75N96025R00002. It is a Request for Proposal (RFP) issued by the Department of Health and Human Services, National Institutes of Health, NIEHS. The contract type is not specified, but may include Firm-Fixed Price or Cost Reimbursement options. The form collects details on the offeror's relevant project experience, including the project number, firm information, type of work performed, contract value, and a description of the work performed and its relevance to the current RFP requirements. Offerors are to complete this form to demonstrate their qualifications and experience for the NIEHS contract opportunity.
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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 .