J-2 Corporate Experience Project Data Sheet.pdf

ATTACHMENT J-2

CORPORATE EXPERIENCE PROJECT DATA SHEET

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

1. Experience for: Offeror for this Solicitation Other (Identify below, e.g.: JV Member, Subcontractor, Corporate affiliate, etc.)

Name of entity that performed services for this Project:

Entity CAGE: _____________ Unique Entity ID: _____________ Address:

Phone Number:

Point of Contact: Contact Phone Number:

2. Entity role in Project: Prime Contractor Sub Contractor Joint Venture Member

Other (Identify): ___________________________________________

Percent of project work performed by entity listed in Box 1:

If other than Prime, 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):

5. Provide the dollar amount of work completed for each full year of performance within the recency period: (Expand as appropriate and provide each full year as a separate period of performance)

Period of Performance #___ (______ to ______): $__________ (for this period)

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

Firm-Fixed Price Cost/Time and Material Other (explain):___________________

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

Standalone Contract Single Delivery/Task Order Indefinite Delivery/Indefinite Quantity

Other (explain):

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

9. Provide a detailed description of what work the entity listed in Box 1 self-performed on this project:

10. Other Information: