N6945020Q2809_CorporateExp.doc

CORPORATE EXPERIENCE PROJECT DATA SHEET

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

1. Experience for: Offeror for this Solicitation Other (Identify below, e.g.: Joint Venture Member, Corporate affiliate, etc.)

Name of entity that performed services for this Project: ____________________________________

CAGE:_____________

Entity DUNS: _____________ Point of Contact: Contact Phone Number:

2. Entity role in project: Prime Contractor Joint Venture Member

Other (Identify): ___________________________________________

Percent of project work performed by entity listed in Box 1: __________________

Percent of project work subcontracted: __________________

3. Contract Number: _____________________ Delivery/Task Order Number: _____________

Title: ___________________________________ Location: _______________________________

Client Point of Contact: ____________________ Client Phone Number: ____________________

Client Email Address: _____________________

4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

5. Provide the dollar amount of work completed for each full year of performance: (Expand as appropriate and provide each full year as a separate period of performance)

Period of Performance ___ (______ to ______): $

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

Firm-Fixed Price Cost/Time and Material Other (explain): ______________________

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

Standalone Contract Single Delivery/Task Order

Other (explain): ____________________________________________________________________

8. Provide a detailed description of the project and the relevancy to the requirements of this solicitation.

9. Provide a detailed description of what work the entity listed in Box 1 self-performed on this project:

10. Other Information: