L-2_Project_Experience_Form.docx

W911KB-13-R-0014

Attachment L-2

ATTACHMENT L-2 (Submit for Volume 1, Section 1, Tab 1-2)

PROJECT EXPERIENCE FORM

REFERENCE PROJECT #___

A. IDENTIFY THE FIRM WHOSE EXPERIENCE AND INFORMATION IS PROVIDED BELOW. (Provide firm name, business unit/division, if applicable)

B. GENERAL INFORMATION PERTAINING TO THE PROJECT PROVIDED AS A REFERENCE

C. CURRENT STATUS OF CONTRACT: (Choose one.)

Work underway.

Work completed, no further action pending or underway.

Work completed, routine administrative action pending or underway.

Work completed, claims negotiations pending or underway.

Work completed, litigation pending or underway.

Terminated for convenience.

Terminated for default.

Other (explain).

D. REFERENCES/PRIMARY POINTS OF CONTACT: (For prime contractors, use the project owner. For subcontractors, use the business concern that awarded the subcontract. If possible, provide at least one reference from each category below. Ensure that all contact information is accurate, current, and complete at time of submission.)

1. Technical/Program Manager Name:

Organization/Agency:

Telephone:

Facsimile:

E-mail, if known:

2. Contracting Officer(s) Name:

Organization/Agency:

Telephone:

Facsimile:

E-mail, if known:

3. Primary Regulator Name:

Title:

Agency:

Region:

Telephone:

Facsimile:

E-mail, if known:

E. DESCRIBE THE PROJECT AND SPECIFICALLY EXPLAIN THE RELEVANCE OF THE WORK THAT YOU PERFORMED UNDER THE PROJECT TO THE CURRENT ACQUISITION, E.G., TO THE ENVIRONMENTAL SERVICES LISTED IN SECTION C. INCLUDE THE FOLLOWING:

F. PERFORMANCE PROBLEMS: (Provide details if applicable. Explain offeror’s side of the story of any conflicts with the customer concerning which they may make adverse remarks. Describe any actions that have been taken or are planned to correct any performance shortcomings. Identify any pending, ongoing, or completed litigation.)