WCMBP_Section_J_Attachment_9_-_Prior_Experience_Reference_List_Template_AMD_5.doc
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United States Department of Labor
(DOL)
Workers’ Compensation Medical Bill Process (WCMBP)
Attachment 9 –
Prior Experience Reference List Template December 30, 2013 Office of Workers’ Compensation Programs (OWCP) Prior Experience Project Reference List Offeror: _____________________
| Unique Project Identifier |
| Project Name |
| Contracting Officer's Point of Contact |
| Offeror's Primary Point of Contact |
| Customer's Primary Project Point of Contact |
| Use the format: PEnnnn, where ‘nnnn’ is a sequentially increasing integer, starting with “PE0001” |
| Identify the project name |
| Provide the POC name, phone number, FAX, and email |
| Provide the POC name, phone number, FAX, and email |
| Provide the POC name, phone number, FAX, and email |
(The shaded row can be removed when the list is created) The offeror can cite no past or ongoing projects that provide relevant prior experience to this proposal
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