ATTACHMENT_C_Experience_Form.docx

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886 Minor MATOC
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W5J9JE-16-R-0002
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ATTACHMENT C - Experience Form

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ATTACHMENT C

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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