Attachment A OFFEROR EXPERIENCE PROJECT DATA SHEET (RFQ).docx

ATTACHMENT A – OFFEROR EXPERIENCE PROJECT DATA SHEET

(Provide the following information on projects to demonstrate experience on recent, relevant projects. Use continuation sheets, if needed. Do not exceed prescribed number of pages as stated in the RFQ.)

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

1. Experience for: |_| Offeror |_| Joint-Venture |_| Key Subcontractor |_| Other

Firm Name:

Address:

DUNS Number(Project was performed under) Phone Number:

Point of Contact: Contact Phone Number & Email:

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain)

Percent of project work self -performed:

If subcontractor, who was prime (Name/Phone #/Email):

If joint venture, who was joint venture partner(s) (Name/Phone #/Email):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

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

Note: For projects that are substantially complete, provide percent complete as of proposal submittal date and provide anticipated completion date.

5. Tasks Performed:

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

|_| Firm-Fixed Price |_| Time and Material |_| Cost plus Award Fee |_| Other (explain):

7. Award Amount: Final Price:

Note: Award amount includes value at award and amount added /deducted by modification and final price/cost. For projects that are substantially complete, provide total cost of work performed to date, versus final project amount. If the project was performed as a subcontractor, this amount should reflect the value of the subcontract and not the total value of the project as a whole.

8. Provide a detailed description of the project scope and the relevancy to the project requirements of this RFQ. Note: If project was performed as a subcontractor, the project description shall reflect the subcontract work and not the work under the project as a whole.

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

10. Additional notes on the scope, magnitude/size, and/or complexity of the task order (optional):