Attachment 1_RFP15R0010_29June17.docx
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- Solicitation number
- N65236-15-R-0010
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ATTACHMENT 1
RFP, RELEVANT EXPERIENCE FORM
SOLICITATION N65236-15-R-0010
1. Complete Name of Reference (Government agency, commercial firm, or other organization)
2. Complete Address of Reference
| 3. Contract Number or other control number |
| 4. Date of contract |
| 5. Date work was begun |
| 6. Date work was completed |
| 7. Contract type, initial contract price, estimated cost and fee, or target cost and profit or fee |
| 8. Final amount invoiced or amount invoiced to date |
| 9a. Reference/Technical point of contact (name, title, address, telephone no. and email address) |
| 9b. Reference/Contracting point of contact (name, title, address, telephone no. and email address) |
10. Location of work (country, state or province, county, city)
| 11. Current status of contract (choose one): [ ] Work completed, claims negotiations pending or underway | ||
| [ ] Work continuing, on schedule | [ ] Work completed, litigation pending or underway | |
| [ ] Work continuing, behind schedule | [ ] Terminated for Convenience [ ] Work completed, no further action pending or underway | [ ] Terminated for Default |
[ ] Work completed, routine administrative action pending or underway [ ] Other (explain)
12. Provide a summary description of contract work, not to exceed five pages in length. Describe the nature and scope of work as well as its relevancy to this contract. Attach the explanation to this form.
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