Attachment 5 - Experience Form.docx

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Grounds Maintenance and Snow/Ice Removal Services
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FA251722R0009
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Experience Form

This form is intended to capture the experience claimed for submission of the new acquisition.

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________ Maximum acreage covered ground maintenance:____________________ Maximum Sq. Ft covered for snow removal: ________________________

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________ Maximum acreage covered ground maintenance:____________________ Maximum Sq. Ft covered for snow removal: ________________________

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________ Maximum acreage covered ground maintenance:____________________ Maximum Sq. Ft covered for snow removal: ________________________

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________ Maximum acreage covered ground maintenance:____________________ Maximum Sq. Ft covered for snow removal: ________________________

Contract/Order Title: __________________________________________ Contract/Order Number: _______________________________________ Contract/Order Value (in USD): __________________________________ Contract POC Name: ___________________________________________ Contract POC Phone Number: ____________________________________ Contract POC Email: ____________________________________________ Date of Performance: __________________________________________ Annual contract Value: _________________________________________ Maximum acreage covered ground maintenance:____________________ Maximum Sq. Ft covered for snow removal: ________________________

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