Attachment 4 Project Data Sheet.pdf

ATTACHMENT 4 PROJECT DATA SHEET

1. Experience for: Offeror Joint-Venture Other (Explain):

Firm Name:

Address:

Phone Number:

DUNS 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/Phone #):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

Contract Type: Firm-Fixed Price Cost/Time and Material Other (Explain):

4. Contract performed for: U.S. Department of Defense Other U.S. Government Other (Explain):

5. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

6. Award Amount (for Firm’s work) (¥ and/or $):

Final Price (including all contract options) (for Firm’s work) (¥ and/or $):

7. Type of work performed:

ANNEX 1800000 – OHS SPILL RESPONSE

ANNEX 1800000 – WCD/TABLE-TOP TRAINING EXERCISE

ANNEX 1800000 – FIELD TRAINING EXERCISE

8. Provide a description of the self-performed work under the project and the relevancy to the requirements of this RFP, including details for each functional annex performed that highlights the firm’s depth and breadth of experience.