Attachment (5) Experience Project Data Sheet 20R7001.doc

Custodial and Grounds Service for

RFP No. N4008420R7001

Naval Commands Misawa and FLCY Hachinohe, Japan Custodial and Grounds Service for

RFP No. N4008420R7001

Naval Commands Misawa and FLCY Hachinohe, Japan

ATTACHMENT 5

EXPERIENCE

The offeror shall complete all sections in English.

EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : FORMCHECKBOX

#1 FORMCHECKBOX

#2 FORMCHECKBOX

#3 FORMCHECKBOX

#4 FORMCHECKBOX

#5

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

Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

2. Work Performed as: FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX Joint Venture FORMCHECKBOX 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):

5. Type of work:

FORMCHECKBOX

New Construction FORMCHECKBOX Renovation FORMCHECKBOX Repair FORMCHECKBOX Alteration FORMCHECKBOX Services FORMCHECKBOX Other (explain):

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

FORMCHECKBOX

Firm-Fixed Price FORMCHECKBOX Cost/Time and Material FORMCHECKBOX

7. Award Amount: Final Price:

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

FORMCHECKBOX

Delivery/Task Order (IDIQ) FORMCHECKBOX

8. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (Include applicable annex in accordance with Factor 3)

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

10. Other Information:

Rev. Apr 2017

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY

Rev. Apr 2017

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY