Attachment (3) Offeror Experience Project Data Sheet.docx

ATTACHMENT 3CUI//FEDCON (when filled in)

The offeror shall complete all sections in English.

OFFEROR EXPERIENCE PROJECT DATA SHEET

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

1. Experience for: |_| Single Company |_| 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/Email/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: (Check ALL that apply)

|_| New Construction |_| Renovation |_| Repair |_| Alteration |_| Services |_| Other (explain):

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

|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):

7. Award Amount: Final Price:

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

|_| Delivery/Task Order (IDIQ) |_| Other (explain):

CUI//FEDCON (when filled in)

8. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (Include applicable annex in accordance with PWS)

9. Provide a detailed description of what work your firm self-performed on this project:

10. Provide a detailed description of the resources (labor, vehicles, equipment, facility, etc.) used to accomplish this project: