Attachement_B_-_Experiance_Form.pdf

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886 Minor MATOC
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W5J9JE-16-R-0002
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Experiance Form

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“Source Selection Information – See FAR 2.101 and 3.104”

ATTACHMENT B

OFFEROR’S EXPERIENCE FORM

PROJECT No. . (circle one): 1 2 3

Name of offeror: ___________________________________________________________

E-mail Address: ____________________________________________________________

Telephone Number: ____________________________________________________________

Project Title: _______________________________________________________________

Contract Number: __________________________________________________________

Contract Amount (U.S. Dollar Amount) $__________________________________________

Contract Completion Date: _____________________________________________________

Contract Duration (Period of Performance): _______________________________________

Description of the Project’s Scope and Magnitude:

Location of Project:

Details of your company’s role and activities during construction of the project: (describe your role in this project. Include whether your firm participated as a prime or as a subcontractor.

SPECIFICALLY describe your roles and responsibilities in the design portion of the contract.

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