N4425519R7057_Exhibit_A_Corporate_Experience_Project_Data_Sheet.doc

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Municipal Solid Waste Disposal
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N44255-19-R-7057
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EXHIBIT A

OFFEROR CORPORATE EXPERIENCE PROJECT DATA SHEET

The purpose of this form is to provide supporting project information for Factor 1- Corporate Experience. This form is to be completed by the Offeror. Only projects that fit within the parameters of this factor will be evaluated. All other projects will be removed and discarded prior to evaluation.

1. Contract Number, Delivery/Task Order Number, Project Number, Title, and Location:

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

Completion Date (mm/dd/yy):

Is project at least 80% complete: FORMCHECKBOX Yes FORMCHECKBOX No

3. Award Amount:

Final Contract Price (Including all options):

Is this the FORMCHECKBOX total project or FORMCHECKBOX subcontract price

4. Type of work: FORMCHECKBOX Recycling FORMCHECKBOX Composting FORMCHECKBOX Disposal FORMCHECKBOX Other (explain):

5. Type of Contract:

FORMCHECKBOX

Government Services FORMCHECKBOX Commercial Services FORMCHECKBOX Other (explain):

6. Firm Who Performed the Work: (check one)

FORMCHECKBOX

Contractor FORMCHECKBOX Sub Contractor

Firm’s Name:

If your firm was a subcontractor on this project, identify the prime:

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

7. Customer/Owner Information:

Customer Name:

Point of Contact:

Phone Number:

FAX Number:

E-mail address:

8. If this project was performed by key personnel, a subsidiary, satellite office, or parent company, explain how this office/person will participate in this contract.

9. Provide a detailed description/scope of the project:

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

Form may be expanded (NTE 2 PAGES)

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