02_Form_1-_Experience_ _Past_Performance.pdf

FORM 1

EXPERIENCE AND PAST PERFORMANCE

Use this form to demonstrate your successful past experience of relevant jobs that compare favorably to the work offered in this project. Refer to the instructions in Section L, Notice to Offerors, Instructions for the Submission of Offers and Other Information and Section M – Evaluation Factors for Award. List contracts and other pertinent work to describe how your experience is relevant to the requirements of this solicitation. Use as many copies of this Form 1 as may be required. Attach additional documents as needed. If you have no relevant experience, you must state that on this form in order to qualify for a neutral rating.

PART I – FINANCIAL

I.1 FINANCIAL DATA AS OF ___________

Date

CURRENT ASSETS $___________

CURRENT LIABILITIES $___________

NET WORTH $___________

PART II – EXISTING COMMITMENTS

II.1 CONTRACT NUMBER:

AMOUNT:

AGENCY/OWNER:

CONTACT PERSON: PHONE NUMBER:

DESCRIPTION OF WORK:

PERFORMANCE PERIOD:

II.2 CONTRACT NUMBER:

AMOUNT:

CONTACT PERSON: PHONE NUMBER:

PERFORMANCE PERIOD:

PART III – PAST PERFORMANCE & RELEVANT EXPERIENCE

III.1 CONTRACT NUMBER:

DESCRIPTION/LOCATION:

CONTACT PERSON PHONE NUMBER:

SPECIFIC AREAS OF EXPERIENCE WHICH RELATE TO THE WORK OF THIS PROJECT:

III.2 CONTRACT NUMBER:

III.3 CONTRACT NUMBER:

III.4 LARGEST CONTRACT IN THE PAST THREE YEARS

CONTRACT NUMBER ______________

CONTRACT AMOUNT ______________

CONTRACT DATE ______________