Corporate Experience Summary Form 2.pdf

Corporate Experience Summary

Name Of Offeror:_______________________________________

1. Provide Name and address of Customer/Government Agency where work was performed.

1a. Name and phone number(s) (voice & fax if known) of contact (QAE or COTR) who can verify your work performance and submitted information.

1b. Customer email address:

1c. Government Contract number if applicable:

1d. Period of Performance:

2. Provide a brief description of all services performed on the contract.

Prime contractor for O&M services Y/N

3. Number of buildings: type(s): number of occupants in each building: 24 X 7 Operations: Y/N:

# Building (s) > 350,000 Sq Ft Size of Building: # of Building Occupants: for each building:

24 X 7 Operations Y/N:

# of chillers: Type(s): Centrifugal: Reciprocating: Size(s) in Tons:

# of Cooling towers: Cooling tower capacity in Tons:

# of AHU*: Size in Horsepower: Size in CFM: :

Type of Emergency Power Backup System Number and size of generators and UPS systems:

# of Boilers: Capacity of Boilers:

Building Automation System Y/N

4. What was the dollar value of the contract per year: Dates for term of contract:

5. Number of permanent supervisors/employees assigned to the contract project.

Supervisors: Employees:

6. Names of all Sub-Contractors and their roles on the contract.

Name: Role:

Name: Role:

Name: Role:

7. Brief statement regarding your compliance with the contract terms and conditions:

8. Your statement regarding any known performance outlined as unacceptable and/or not in accordance with the contract terms and conditions.

9. If contract was not renewed for all option years, what is your explanation why it was not renewed?

10. If applicable, please describe the date and scenario associated with any termination(s) as communicated by the client/customer to you:

Note: If additional space is required to answer, in detail, any of the above questions please provide answers on a separate sheet of paper with the question number(s) and your response. There is no page limit.

* The acronym AHU means Air Handling Units. The acronym CFM means Cubic Feet per Minute.