Attachment B - Experience Submittal.pdf

RFQ ATTACHMENT

RFQ EXPERIENCE SUBMITTAL FORM

2. Project No. (check one) : #1 #2 #3 #4 #5

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

Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

3. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain)

Percent of project work performed:

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

4. Contract Number: Delivery/Task Order Number:

Title:

Location:

Award Amount:

Final Price:

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

6. Type of work: Wet Superconducting Magnet Systems

Design Repair Construction Other

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

Firm-Fixed Price Cost/Time and Material Other (explain):

8. Customer/Owner Name:

Point of Contact (POC): POC Phone Number:

FAX Number: POC E-mail address:

9. Provide a detailed description of the project and the relevancy to the project requirements of this RFQ

10. Other Information:

*Individual blocks on this form may be expanded; however, total length for each project data sheet shall not exceed three

(3) double-sided page (or six (6) single-sided pages).