A23_SS_EF_W5J9JE18R0016-2.pdf

EXPERIENCE FORM

AFGHAN NATIONAL ARMY SPECIAL OPERATIONS COMMAND

CORPS HEADQUARTERS EXPANSION PHASES 1 AND 2,

CAMP COMMANDO, KABUL PROVINCE, AFGHANISTAN

SOLICITATION NO. W5J9JE18R0016

PROJECT NUMBER: AFGHAN NATIONA ARMY (ANA) 19-006

NOTE: Firms’ that perform as a subcontractor shall include the contracting agency or entity’s name and point of contact as well as the name of the Prime contractor. The “customer” is not the prime contractor; it is the contracting agency or entity that administers the contract.

Project Number:

Name of Offeror:

Contract Number:

Contract Title:

Location (City or Province):

Contracting Agency/Entity:

Contracting Point of Contact Name: Email:

Name of Prime Contractor (if applicable):

Prime Point of Contact Name: Email Address:

Offeror Performed as a (check one and list percentage of self-performance):

Prime Subcontractor Joint-Venture Partnership

% Self-Performed

Contract Amount: Original Amount $ Final Amount $

Self-Performed $

Contract Award Date:

Contract Duration (Period of Performance):

Original Completion Date:

Actual Completion Date:

Provide a short narrative on the description of the project scope and the offeror’s specific roles and responsibilities in performing the work to include the technical approach to the project: