Attachment_J-1_-_Corporate_Experience_Form.pdf

Professional Services to Support NAVFAC Public Works Business Line N62470-17-R-4010

NAVFAC AOR

ATTACHMENT J-1 CORPORATE EXPERIENCE FORM

CORPORATE EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : #1 #2 #3 #4 #5

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

Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

2. Work Performed as: Prime Contractor Sub Contractor 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 N62470-17-R-4010

NAVFAC AOR

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: