Attach(5)_ExhibitA_(ExperienceProjectDataSheet).docx

EXHIBIT “A”

EXPERIENCE PROJECT DATA SHEET (FACTOR 1)

NAME OF OFFEROR: ____________________________________

Provide the following information; for a minimum of one (1) to a maximum of three (3) recent and relevant projects performed by the company as prime or sub-contractor that are relevant to work requirements specified in the solicitation. A relevant project is defined as follows:

1) Providing maintenance (which includes but not limited to service orders/trouble calls) for Elevators, Automatic Sliding Doors, AND Automatic Overhead Doors;

2) Performed in Japan;

3) Completed within the past ten (10) years before the date of issuance of this solicitation or more than 50% completed at the time of proposal submission; AND

4) Has an annual value of ¥5,000,000 or more for work related to elevators, automatic sliding doors, and automatic overhead doors.

PROJECT NO. (check one) : |_| #1 |_| #2 |_| #3

1. Contract No:

2. Contract Issuing Organization (or Prime Contractor)

3. Contract Number

Contract Title:

4. Project Location:

NOTE: If worked as a subcontractor, list only the contract/project work that your company performed.

5. Award Date:

6. Completion Date including all options:

9. Award Amount (of the offeror’s work) if Recurring/Non-Recurring IDIQ contract

To

To

To

To

To

TOTAL CONTRACT PRICE (Including All Options): ¥

10. Award Amount (of the offeror’s work) if Stand-Alone Contract

Award Amount: ¥

Period of Performance: From: To:

11. Type of work:

|_| Elevator Maintenance |_| Elevator Repair

|_| Automatic Sliding Door Maintenance |_| Automatic Sliding Door Repair

|_| Overhead Door Maintenance |_| Overhead Door Repair

|_| Other: (explain ______________________________________________________________________ )

12. Your company performed the Work as:

|_| Prime Contractor |_| Sub Contractor

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract: ______

13. Customer/Owner/Prime Contractor Information:

Customer/Prime Name: Point of Contact:

Phone Number: FAX Number:

E-mail address:

14. Provide a detailed description of the project (the project work for which the Offeror was responsible for) including the specific types of work.

CUI//FECON

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY