14T8706_E.pdf

MAINTENANCE ON HVAC AND REFRIGERATION SYSTEMS AND RELATED

EQUIPMENT FOR THE U.S. NAF ATSUGI, AND THE U.S. FORCES JAPAN

CONTROLLED AREAS IN KANTO PLAIN, JAPAN

EXHIBIT “A”

OFFEROR EXPERIENCE PROJECT DATA SHEET

The purpose of this form is to provide supporting project information for Factor 2 – Corporate 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:

2. Contracting Issuing Organization (or Prime Contractor):

3. Project Number and / or Title:

4. Project 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):

(Including all options)

Percentage of project complete: ______ %

Number of Option: ______

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

Base period: ____________________ First Option Period: ____________________ Second Option period: ____________________ Third Option Period: ____________________ Fourth Option Period: ____________________ Total 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):

MAINTENANCE ON HVAC AND REFRIGERATION SYSTEMS AND RELATED

EQUIPMENT FOR THE U.S. NAF ATSUGI, AND THE U.S. FORCES JAPAN

CONTROLLED AREAS IN KANTO PLAIN, JAPAN

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 (the project work for which the Offeror was responsible for) including the specific types of work in terms of:

1. Identify the project scope of work in terms of services.

2. Identify whether or not any of the proposed Key Personnel participated in the project.

9. Provide a detailed description of what portion of the project work that your company (the Offeror) performed on the project with in-house/employee labor (DO NOT include any work you’re your company subcontracted out).

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