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Text version

PROJECT DATA SHEET

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement.

1.
Contractor Name:
2.
Project No. (check one):
|_| - 1|_| - 2|_| - 3|_| - 4|_| - 5
3.
Contract Number:
Delivery/Task Order No.:
Project Number:
Title:
Location:
4.
Award Date (mm/dd/yy):
5.
Initial Contract Price:
$
Completion Date (mm/dd/yy):
Final Contract Price: $

(includes all options and mods)

Project is % complete (as of submission due date)
This is the |_| total project |_| subcontract price.
6.
Type of work:
|_| Environmental Services|_| Remedial Actions|_| Environmental Studies

|_| Other (explain):

7.
Customer/Owner Name:
Point of Contact Name/Title: (person with project knowledge)
POC Phone Number:
POC Email Address:
8.
Were you the Prime contractor for this project?
|_| Yes|_| No
Were you a subcontractor for this project?
|_| Yes|_| No
If subcontractor, who was the Prime contractor?
9.
Type of Contract (check all that apply):

|_| IDIQ |_| Multiple Award Contract |_| Delivery/Task Order |_| Standalone

|_| Other (explain):

10. Provide a detailed description of the project:

11. Percentage of work you self-performed on this project: %.

Provide a detailed description of the work your firm self-performed on this project:

Form may be expanded. Please DO NOT change content of the form.

File details come from the government source that posted it. Updated .