Attachment 3- Experience Information Form.pdf

This is an Experience Information form to be completed by contractors documenting their relevant project experience.

The form captures comprehensive details about a contractor's past or current contract performance. Section 1 requests the contractor's name and address. Section 2 requires the contract, Task Order, or Purchase Order number. Section 3 calls for the original dollar value and the dollar value with modifications. Section 4 documents whether the contract is active or complete, along with the completion date including any extensions. Section 5 identifies the project title and location. Section 6 requests a detailed project description that must include the contractor's specific role on the project and their responsibilities during performance. Section 7 asks whether the contractor served as prime contractor or subcontractor. Section 8 requires contact information for the project owner or project manager from the client, including their name, address, telephone number, and email.

This template is designed to standardize the collection of contractor experience information, likely for evaluation purposes in federal contract proposals, past performance assessments, or capability determinations.