5_Attachment_3_-_Experience.pdf

SGE50015R0025 Page 1 of 2

HEALTH INSURANCE, IRAQ

Attachment 3 – Contract Information Sheet / Experience Listing

Minimum 3 – maximum 5 contracts, 1 listing per contract

Section 3.B.a.2 – Experience & Past Performance

Offeror: _______________________________________________________________

Name of firm

Contract Title:

Contact Location:

Contract number:

Owner of the project (to evaluate performance):

Phone number:

E-mail address:

Alternate point of contact (to evaluate performance):

Phone number:

E-mail address:

Role of the offeror on this contact (check one):

Prime Contractor joint Venture Partner

If Joint Venture, list other Joint Venture partner

If Joint Venture, state % of work that the offeror was responsible for %

Contract amount and currency at award:

Contract amount and currency at completion:

(explain any difference in Contract description below)

SGE50015R0025 Page 2 of 2

HEALTH INSURANCE, IRAQ

Attachment 3 – Contract Information Sheet / Experience Listing

Contract start date:

Original Contract completion date:

Actual Contract completion date:

(explain any difference in Contract description below)

Describe Contract in detail, including construction features that are similar to the project covered in this solicitation, and construction issues that are similar to those likely to be encountered during the construction of the work covered in this solicitation. Include all aspects of the Contract that will demonstrate relevancy, as described in the solicitation.