Attachment_D_-_Relevant_Experience_Project_Data_Sheet.doc

RFP ATTACHMENT D

RELEVANT EXPERIENCE PROJECT DATA SHEET

2. Project No. (check one) : FORMCHECKBOX

#1 FORMCHECKBOX

#2 FORMCHECKBOX

#3 FORMCHECKBOX

#4 FORMCHECKBOX

#5

2. Experience for: FORMCHECKBOX Offeror FORMCHECKBOX Joint-Venture FORMCHECKBOX Other (Explain) Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

3. Work Performed as: FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX Joint Venture FORMCHECKBOX Other (Explain) Percent of project work performed:

If subcontractor, who was prime (Name/Phone #):

4. Contract Number: Delivery/Task Order Number:

Title:

Location:

Award Amount:

Final Price:

5. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

6. Type of work:

FORMCHECKBOX

Fully Anechoic Chamber FORMCHECKBOX Semi-Anechoic Chamber

7. Type of Contract/Task Order: (Check ALL that apply)

FORMCHECKBOX

Firm-Fixed Price FORMCHECKBOX Cost/Time and Material FORMCHECKBOX Other (explain):

8. Customer/Owner Name:

Point of Contact (POC): POC Phone Number:

FAX Number: POC E-mail address:

9. Provide a detailed description of the project and the relevancy to the project requirements of this RFP

10. Other Information:

*Individual blocks on this form may be expanded; however, total length for each project data sheet shall not exceed one (1) double-sided page (or two (2) single-sided pages).

PAGE