ATTACHMENT C 36C25626Q0490 Relevant Experience Form.pdf

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Attached to
H149--Air Emission Testing for Three Natural Gas Generators Alexandria VA Medical Center (PINEVILLE LA)
Solicitation number
36C25626Q0490
Issued by

About this file

This is a Relevant Experience Form template (Attachment C) for federal contract solicitation 36C25626Q0490 that requires offerors to document their past contract performance.

The form requests submission of up to three relevant contracts listed in chronological order beginning with the most recent. Acceptable contracts cannot be more than five years old, though ongoing contracts that began more than five years ago may be included. For each contract, offerors must provide: customer name and address; contact point name, title, email address, and phone number; estimated contract value; contract term (month and year); contract effective date; contract status (ongoing or completed); and a detailed description of the scope of work performed as indicated in the Request for Quote documents. The form permits offerors to attach separate sheets if additional space is needed for scope descriptions. The template provides three identical contract entry sections across three pages, allowing documentation of relevant experience to demonstrate capability and past performance related to the solicitation requirements.

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36C25626Q0490- ATTACHMENT C

RELEVANT EXPERIENCE FORM

ATTACHMENT C

Please list your contracts in the chronological order beginning with the most recent one. Contracts listed cannot be more than 5 years old. You can list ongoing contracts that began more than 5 years ago.

Contract #1

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

7. Contract Term (Month and Year)

From _______ through _______________

8. Contract Effective Date

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Request

For Quote documents. Attach separate sheet if additional space is needed.)

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Request

Contract #3

1. Customer Name 2. Customer’s Address

3. Name and Title of Contact Point 4. Contact Point’s Email Address

5. Contact Point’s Phone Number 6. Estimated Contract Value

9. Contract Status

___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Request

File details come from the government source that posted it. Updated .