Attachment_10_Experience Information Sheet.pdf

PDF 234 KB Posted

Attached to
WPAFB Basewide Paint IDIQ Federal contract opportunity
Solicitation number
FA8601-20-R-0017
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Wright Patterson Air Force Base

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Text version

RESPONSE TO SOLICITATION NUMBER: FA8601-20-R-0017

EXPERIENCE INFORMATION SHEET

PROJECT NO. _____, Page 1 Project Name and Location:

Experience:

1. The location that work was performed: ___________________________________

2. The day, month, and year work was completed; work must be ongoing or completed within the past five (5) years:

3. The final cost of this project, must be greater than US $500,000.00: US_________________________

4. Is this project more than 50% complete? ____ Yes ____ No

6. Provide the name, e-mail address, and phone number of the client you performed this work for.

Name:

E-mail:

Phone:

5. Provide detailed information of the construction work performed for the project listed.

FA8601-20-R-0017 Section J, Attachment 10 Experience

Information Sheet

** May include an additional page if room is not sufficient to provide adequate project information answer.

RESPONSE TO SOLICITATION NUMBER: FA8601-20-R-0017

EXPERIENCE INFORMATION SHEET

PROJECT NO. _____, Page 2

Offeror: A contractor and/or company submitting a proposal for this solicitation.

Prime Contractor: A contractor that performed at least 20% of the work, and managed all other work for the project.

Joint Venture: More than one contractor with a legally binding agreement to work together.

6. Mark one of these selections:

Work was completed as the ____ Prime ___ Joint Venture

a. No additional information is required for work performed as the Prime other than what is on Page 1 of this form.

b. If work was as a Joint Venture, explain the relationship of the company, which company performed the work, and how the work performed and the relationship provides an added benefit for experience.

FA8601-20-R-0017 Section J, Attachment 10 Experience

Information Sheet

EXPERIENCE INFORMATION SHEET PROJECT NO Page 1:
undefined:
Project Name and Location:
1 The location that work was performed:
2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 1:
2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 2:
3 The final cost of this project must be greater than US 50000000 US:
4 Is this project more than 50 complete:
Yes:
Experience 1 The location that work was performed 2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 3 The final cost of this project must be greater than US 50000000 US 4 Is this project more than 50 complete Yes No 6 Provide the name email address and phone number of the client you performed this work for Name Email Phone 5 Provide detailed information of the construction work performed for the project listed May include an additional page if room is not sufficient to provide adequate project information answerRow1:
Page 2:
Offeror A contractor andor company submitting a proposal for this solicitation Prime Contractor A contractor that performed at least 20 of the work and managed all other work for the project Joint Venture More than one contractor with a legally binding agreement to work together 6 Mark one of these selections Work was completed as the Prime Joint Venture a No additional information is required for work performed as the Prime other than what is on Page 1 of this form b If work was as a Joint Venture explain the relationship of the company which company performed the work and how the work performed and the relationship provides an added benefit for experience:
Text1:
Prime:

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