Attachment_5_Past_Project_Form.pdf

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Attached to
Facility Hazardous Waste Removal and Emergency Response Services for the U. S. EPA
Solicitation number
RFQ-PA-13-00016
Issued by

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Attachment 5 Past Performance Form

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Attachment 5: Past Project Form

OFFEROR:

CUSTOMER:

CONTRACT/PROJECT NUMBER OR IDENTIFIER:

PROJECT TITLE:

PLACE OF PERFORMANCE:

PERIOD OF PERFORMANCE:

TOTAL CONTRACT/PROJECT DOLLAR VALUE:

TYPE OF FACILITY ON CONTRACT PROJECT:

SIZE OF FACILTIY:

CUSTOMER POINT OF CONTACT:

POC PHONE:

POC E-MAIL:

*Please include a description of the work performed and similarities to the proposed contract in the RFQ (one page or less). Indicate if the experience was as a prime or subcontractor. If experience was as a subcontractor, give name, telephone number and point of contact of the prime contractor as well as the customer.

RFQ-PA-13-00016 Attachment 5 - Past Project Form Page 1 of 1

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