Attachment 4 - Experience_Past_Performance_Questionnaire.doc

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Attached to
Range Ecosystem Maintenance and Wildlife Enhancement Work
Solicitation number
12444321Q0017
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SOL. NO.: 12444321Q0017

Experience/Past Performance Questionnaire

Instructions: Offerors shall furnish the following information as it pertains to this request for quotation. Attach an additional sheet if extra space is needed to answer any item below.

1. Contractors Name, Address, & Telephone No.

EXPERIENCE:

2. How many years experience do you have in this line of work? Years

3. How many years experience as a prime contractor? As a subcontractor?

4. Provide the name and contact information of the employee who will serve as your company’s main contact for the Government’s Contracting Officer’s Representative (COR) during contact execution.

5. Other pertinent information:

PAST PERFORMANCE:

6. Provide details of work performed under projects of similar size and scope as the work to be performed under this contract within the past 3 years:

Contract Amount
Type of Project
Date Completed
Name, Address, & Telephone no. to Contact for Information.

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