Attachment(6)-Experience_Project_Data_Sheet.docx

GROUNDS MAINTENANCE SERVICES N40084-14-R-5400

U.S. MARINE CORPS AIR STATION (MCAS) IWAKUNI, JAPAN

Attachment (6) – Offeror Experience Project Data Sheet

OFFEROR EXPERIENCE PROJECT DATA SHEET

The purpose of this form is to provide supporting project information for Factor 3 - Experience. This form is to be completed by the Offeror. Only projects that are within the maximum submittal number and that fit the submittal requirements will be considered for evaluation.

1. Contract Number, Delivery/Task Order Number, Project Number, Title, and Location. (Note: If worked as a subcontractor - List only the contract/project work that your company performed – do not list the prime contract.

2. Award Date (mm/dd/yy):

Completion Date (mm/dd/yy):

Percentage of project complete: ________ %

3. Award Amount (Of the Offeror’s Work):

Final Contract Price (Including all options):

4. Type of work:

|_| New Construction |_| Construction Renovation |_| Construction Repair |_| Alteration

|_| Service: Facility operation, maintenance or repair

|_| Service: Utility Renovation |_|Repair |_|Alteration

5. Type of Contract:

|_|Construction: Design-Build |_| Construction: Design-Bid-Build |_| Service |_| Other (explain):

6. Your company performed the Work as: (check one) |_| Prime Contractor |_|Sub Contractor

If your firm was a subcontractor on this project, what was the percentage (%) of your work compared to the overall prime contract:

If a Design-Build Project, identify the Lead Design Firm:

7. Customer/Owner/Prime Contractor Information:

Customer/Prime Name:

Point of Contact:

Phone Number:

FAX Number:

E-mail address:

8. Provide a detailed description of the project and type of work of the project/contract, and identify whether or not any of the proposed Key Personnel participated in the project:

9. Provide a detailed description of what work your company performed itself on the project with in-house/employee labor (Identify work that was NOT subcontracted out by your company):

10. Provide a detailed description of what type of work and percentage of work that your company sub-contracted for the project. Identify the number of sub-contractors used, the type of work each subcontractor performed, and the overall percentage of work each subcontractor performed:

Note: Form may be expanded

Revised 7 December 2011 44

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY