Attachment_J-1_-_Corporate_Experience_Form.docx
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- Attached to
- N62470-17-R-4010 Professional Services to support NAVFAC Public Works Business Line in NAVFAC AOR
- Solicitation number
- N6247017R4010
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Attachment_J-1_-_Corporate_Experience_Form.docx
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ATTACHMENT J-1 CORPORATE EXPERIENCE FORM
CORPORATE EXPERIENCE PROJECT DATA SHEET
| Project No. (check one) : |
| #1 |
| #2 |
| #3 |
| #4 |
| #5 |
| 1. Experience for: |
| Offe |
| ror |
| Joint-Venture |
Other (Explain)
Firm Name:
Address:
Phone Number:
Point of Contact:
Contact Phone Number:
| 2. Work Performed as: | Prime Contractor | Sub Contrac |
| tor | ||
| Joint Venture |
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:
Professional Services Studies, Surveys and Assessments Other (explain):
6. Type of Contract/Task Order: (Check ALL that apply)
Firm-Fixed Price Cost/Time and Material Other (explain):
7. Award Amount including all modifications: Final Price:
Note: Award amount includes value at award and amount added/deducted by modification and final price/cost.
Professional
Services to
Support
NAVFAC
Public Works
Business Line
NAVFAC
AOR
N62470-17-R-4010
8. Provide a detailed description of the project and the relevancy to the project requirements of this RFP
9. Provide a detailed description of what work your firm self-performed on this project:
10. Other Information:
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