RFP Attachment J.M-1 Corporate Experience Questionaire.docx

ATTACHMENT J.M-1

CORPORATE EXPERIENCE QUESTIONNAIRE

Request for Proposals N62470-13-R-3011: Base Operating Support (BOS) Services Gaeta and Gricignano, Italy

Corporate Experience/Project Data Sheet

Project No. (check one): |_| #1 |_| #2 |_| #3 |_| #4 |_| #5 |_| #6 |_| #7

1. Experience for: : |_| Offeror/Prime Contractor |_| Subcontractor |_| Joint Venture |_| Other (Explain)

Firm Name:

Address:

DUNS Number (Project Performed under):

Phone Number:

Point of Contact: Contact Phone Number and email:

2. Work Performed as: |_| Prime Contractor |_| Subcontractor |_| Joint Venture |_| Other (Explain)

Percent of project work self performed:

If Joint Venture or Teaming briefly describe role in project:

If subcontractor, who was prime (Name/Phone #/Email):

3. Contract Information

Contract Number:

Delivery/Task Order Number (if applicable):

Title:

Location:

Award Date (mm/dd/yy):

Completion Date (mm/dd/yy):

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

|_| Firm-Fixed Price |_| Time and Material |_| Cost Plus |_| Other (Explain)

5. Total Contract Value Original Awarded Firm-Fixed Price Annual Value:

Original Awarded Indefinite Delivery Indefinite Quality Annual Value:

Final Contract Value Explain Difference

Expected Completion Date Actual Completion Date Explain Difference

Note: Total Contract Value includes value at time of award and amount added/deducted by modification. If the project was performed as a subcontractor, this amount should reflect the value of the subcontract and not the total value of the project as a whole.

6. Detailed Project Description to include relevancy to the solicitation requirements of the RFP. (Note: if project was performed as a subcontractor, the project description shall reflect the subcontract work and not the work under the project as a whole.):

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