J-0200000-09 CORPORATE EXPERIENCE DATA SHEET.pdf

ATTACHMENT C

CORPORATE EXPERIENCE DATA SHEET

CORPORATE EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : #1 #2 #3 #4 #5

1. Experience for: Offeror Joint-Venture Other (Explain)

Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain)

Percent of project work performed:

If subcontractor, who was prime (Name/Phone #):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

If the contract contains a Base Period with Options, state which contract/option periods have been completed:

5. Type of work:

Maintenance Repair Alteration Minor Construction Other (explain):

6. Type of Contract/Task Order: (Check ALL that apply)

Firm-Fixed Price Indefinite Delivery/Indefinite Quantity Other (explain):

7. Award Amount (per year): Final Price:

Type of Contract/Task Order: (Check ALL that apply)

Delivery/Task Order (IDIQ) Other (explain):

8. Provide a detailed description of the project and the relevancy to the project requirements of this RFP

9. Provide a detailed description of what work your firm self-performed on this project:

10. Other Information: