N4019224R6000_JM1_CorporateExperience.docx

N4019224R6000_JM1_CorporateExperience.doc

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.: Joint Venture Member, Corporate affiliate, etc.)

Name of entity that performed services for this Project: ____________________________________ Entity CAGE: _____________ Entity DUNS: _____________

2. Entity role in project: |_| Prime Contractor |_| Joint Venture Member |_| Other (Identify): ___________________________________________

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

Client Email Address: _____________________

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: (Expand as appropriate and provide each full year as a separate period of performance)

Period of Performance ___ (______ to ______): $

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

|_| Other (explain): ____________________________________________________________________

8. Provide a detailed description of the project and the relevancy to the 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: