Attachment_4_Contractor_Experience_Form_rev.docx
DOCX document 13 KB Posted
- Solicitation number
- W912P723Q0007
About this file
This document is a contractor experience form template for a janitorial services solicitation from the Department of the Army Corps of Engineers Engineering District San Francisco. The form requests information on the contractor's experience providing commercial cleaning services, including years and months of experience, references, and details of up to three relevant past jobs. Contractors must indicate whether they will self-perform the work or use a subcontractor, and provide experience details for both if applicable. The related federal contract opportunity is for recreation area janitorial services at Warm Springs Dam and Lake Sonoma.
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Text version
SOLICITATION NUMBER: ___________________________________
PROJECT TITLE: __________________________________________________
PLEASE COMPLETE ALL REQUESTED INFORMATION
Name: _______________________________________________________ Company name: ________________________________________________ Street Address: _____________________________________________________ City: ____________________________ State: ________ Zip: _________ Phone number: ___________________________________________ DUNS: _________________________________ CAGE Code: ______________ Will you be performing this Work?
_____ Yes (list experience) _____ Yes, with help of Subcontractor (Please list experience of your firm and Subcontractor) Employee / Subcontractor’s Name: ___________________________________________ ** see FAR 52.219-14 (Dev) in Attachment 2 – Provisions and Clauses for Limitations on Subcontracting.
Number of Employees who will be working on this contract:
Full Time: _____________ Part Time: ___________ Seasonal: ___________ Do you and your Subcontractor have Commercial Cleaning Experience?
________ Yes Years: ____________ Months: __________ _________ No _________ N/A
EXPERIENCE #1
Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________ Date work performed: __________________________________________ Reference name: _______________________________________________ Reference Telephone Number: ___________________________________ Additional Information:
EXPERIENCE #2
Job Title: _____________________________________________________ Date work performed: __________________________________________ Reference name: _______________________________________________
EXPERIENCE #3
Job Title: _____________________________________________________ Date work performed: __________________________________________ Reference name: _______________________________________________
File details come from the government source that posted it. Updated .