CARS Qualifications Statement.pdf

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Attached to
CODE APPLICATIONS FOR REACTOR SYSTEMS (CARS)
Solicitation number
RFP-NRC-04-10-127
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CARS Qualifications Statement

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NRC-04-10-127

Attachment 4

QUALIFICATION STATEMENT

1. Firm Name & Address:

2. Year Firm Established: 3. Date Prepared:

4. Type of Firm:

__A. Small Business __B. Small Disadvantaged __C. Woman-Owned __D. Other - ________________________

5. Principal Contacts: (List two by Name/Title/Telephone)

6. Present Offices: (Address/Telephone)

7. Corporate Work Experience, Last 3 Years Note: First, list contracts similar in size(dollars) and scope. Second, list contracts similar in scope only.

Contract No:

Period of Performance:

Dollar Value:

Name of Gov./Commercial Entity:

Contracting Contact Name & Phone:

Technical Rep. Name & Phone:

Brief Description: (Describe the work and how it is similar to NRC=s Requirement.)

Contract No:

Period of Performance:

The foregoing is a statement of facts

Signature: ____________________________________________ Title: ______________________ Date: _______________

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