07_Attachment_A_experience_and_Past_Perf_Data_Sheet 1 .doc

ATTACHMENT A

EXPERIENCE & PAST PERFORMANCE PROJECT DATA SHEET

1. Experience for:

Firm Name:

Address:

Phone Number:

Email:

2. Work Performed as: FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX Joint Venture FORMCHECKBOX 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. Project:

Award Amount: Final Price:

Type of Contract/Task Order:

Customer’s Firm Name:

Address:

Phone Number:

POC:

6. Provide a detailed description of the project and the relevancy to the project requirements of this RFP

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Attachment A