Relevant_Prior_Experience.docx

Revised by Amendment No. 000001, March 31, 2016

Relevant Prior Experience READ CAREFULLY: As described in Section L, Sub-factor 1 “Relevant Prior Experience and Understanding of the Project,” the Offeror shall address the experience of its firm, and/or the experience of the subcontractors proposed for use on this contract. Offerors should specifically include any prior experience in performing work as described in Section M, Sub-factor 1 “Relevant Prior Experience and Understanding of the Project.” The number of projects listed shall not exceed five (5) and shall be numbered consecutively, beginning with the most recent project. Use one sheet for each individual project. Fill in the information by typing or printing legibly.

For experience related to subcontractors, provide the name of the subcontractor and the proposed work to be performed by that subcontractor in the space indicated. Additional narrative may be provided on blank continuation pages if the space provided below is insufficient to allow for a thorough and complete presentation of pertinent information.

NAME OF OFFEROR: _________________________

EXPERIENCE OF |_| OFFEROR

(Check one)

|_| SUBCONTRACTOR: __________________________

WORK TO BE PERFORMED BY SUBCONTRACTOR: ____________________

Description of the Project and Scope of Work:

PROBLEMS ENCOUNTERED AND CORRECTIVE ACTIONS:

SUCCESSES ACHIEVED:

1443N6020060903 Page 1 of 17 Package Nos. WICA-77293 Experience Form

P16PS00600 PMIS: 173969

Experience Form