1_Experience_Questionnaire.docx

Experience Questionnaire READ CAREFULLY: The purpose of this form is for the offeror to list projects performed during the past five (5) years that are similar to the work described in this solicitation. Provide a maximum of ten projects. Use this form to address your familiarity with the Statement of Work and with the evaluation criteria described in the solicitation. Include Area Codes with all telephone numbers. Fill in the information by typing or printing legibly.

It is especially important that the offeror disclose instances in which their experience may be considered by others to be less than fully satisfactory. The offeror should tell their side of the story and describe remedial corrective action that has been taken or will be taken to correct the deficiency. Failure to do so may result in a determination that an offeror has been less than candid with the Government, which could result in an unfavorable assessment of the offeror’s experience.

NAME OF CONTRACTOR/OFFEROR:

Project Location:

Name of Owner:

Address of Owner:

Telephone Number:

Project Value:

Dates of Construction:

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK

PERFORMANCE REMARKS

GATE 201037C

DESCRIPTION OF THE PROJECT AND SCOPE OF OFFEROR’S WORK (continuation)

PERFORMANCE REMARKS (continuation)