FOUO C04.0 N4523A21R1052 UF-109 Attachment J-5 Corporate Experience Data Sheet.docx

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UF-109 Maintenance, Repair, and Preservation
Solicitation number
N4523A21R1052
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CORPORATE EXPERIENCE DATA SHEET

N4523A21R1052 Attachment J-5

CONTRACTOR NAME____________________________________________________

Contract Number:

Date Completed:

Contract Type:
FFP_____ Cost Reimbursement ____ Other (Specify) ___________

Item/Service Description:

Contract Quantity/Period of Performance:

Customer Name:

Customer POC (Person who can verify data; Name/Title/Phone #/Email)

Address:

Telephone:

Email:

NARRATIVE- Provide narrative for specific experience to support Sub-factor 1.1 Corporate Experience as specified in Section L of the solicitation:

NARRATIVE(Continued):

CONTRACTOR NAME____________________________________________________

Contract Number:

Date Completed:

Contract Type:
FFP_____ Cost Reimbursement ____ Other (Specify) ___________

Item/Service Description:

Contract Quantity/Period of Performance:

Customer Name:

Customer POC (Person who can verify data; Name/Title/Phone #/Email)

Address:

Telephone:

Email:

NARRATIVE- Provide narrative for specific experience to support Sub-factor 1.1 Corporate Experience as specified in Section L of the solicitation:

CONTRACTOR NAME____________________________________________________

Contract Number:

Date Completed:

Contract Type:
FFP_____ Cost Reimbursement ____ Other (Specify) ___________

Item/Service Description:

Contract Quantity/Period of Performance:

Customer Name:

Customer POC (Person who can verify data; Name/Title/Phone #/Email)

Address:

Telephone:

Email:

NARRATIVE- Provide narrative for specific experience to support Sub-factor 1.1 Corporate Experience as specified in Section L of the solicitation:

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