Past Experience Questionnaire-Region 1.doc

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FEMA_Region1_Furniture_Partitions
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FEMA_Region1_Furniture_Partitions
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U.S. Department of Homeland Security FEMA Region 1 99 High Street Boston, MA 02110

Attachment 1: Past Experience Questionnaire Federal Emergency Management Agency

EXPERIENCE QUESTIONNAIRE

1. Contractor Name, Address, and Telephone Number

2. Submit with offer

FEMA Region 1 99 High Street Boston, MA 02110

3. Business

[ ] Company[ ] Co-partnership
[ ] Corporation[ ] Individual [ ] Non-profit Organization

4. How many years do you or your firm have in the line of work contemplated by this solicitation?

5. How many years SIMILAR experience have you or your business had as a (a) prime contractor and/or (b) sub-contractor ?

List below any relevant state/federal/private sector contracts your business has completed within the last three years:

Contract Amount Type of Project Date Completed Name, Address, and Telephone No. of Owner/Person to Contact for Project Information

List below any of your firm’s contractual commitments running concurrently with the work contemplated by this solicitation:

Contract Number Dollar Amt. of Award Name, Address, and Telephone No. of Business/Government Agency Involved Awarded (Units) Percent Completed Date Contract Complete

8a. Have you ever failed to complete any work awarded to you? [ ] Yes [ ] No

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