B.08.02 - Attachment 3 Experience Form.pdf

EXPERIENCE FORM

Construction Scheduler

W5J9JE20R003

NOTE: Firms that perform as a subcontractor shall include the contracting agency or entity’s name and point of contact as well as the name of the Prime contractor. The “customer” is not the prime contractor; it is the contracting agency or entity that administers the contract.

Project Name: _________________________________________________________________

Name of Offeror: _______________________________________________________________

Contract Number: _______________________________________________________________

Location (City or Province): _______________________________________________________

Contracting Agency/Entity: ____________________________________________________________

Contracting POC: _____________________________ Email: _________________________________

Name of Prime Contractor (if applicable): _________________________________________________

Prime POC Name: ____________________________ Email: _________________________________

Offeror Performed as a (check one and list percentage of self-performance):

Prime Subcontractor Joint-Venture Partnership

__________% Self-Performed

Contract Amount: Original Amount $_______________ Final Amount $_____________

Self-Performed $_______________

Contract Award Date:

Contract Duration (Period of Performance): to

Original Completion Date:

Actual Completion Date:

Provide a short narrative on the description of the project scope and the offeror’s specific roles and responsibilities in performing the work.