j23_specialexp.docx

ATTACHMENT J23

Company Specialized Experience Provide the following information to show examples of projects your company constructed within the last three years indicating experience with projects of similar type and scope. Use one form per project.

a. Type of Facility:___________________

b. Company Name:__________________

c. Project Name and Contract No.:____________________________________

d. Project Location:___________________

e. Project Owner:________________ Owner Phone No.______________ Owner e-mail address:___________________

f. General Scope of Work:_____________________________________________

g. Your Role (Prime, Joint Venture, Subcontractor, etc.) and Work Your Company Self-Performed:____________________________________________________

h. Total Project Cost:__________________

i. If Subcontractor, Your Company’s Project Cost:__________________________

j. Extent and Type of Work You Subcontracted Out:_________________________

k. Construction Start Date:_________ Project Completion Date:_________

l. Your Performance Evaluation by Owner (if known):________________________

m. Were You Terminated? (Attach an Explanation if Yes) |_| Yes |_| No

n. Were You Assessed Liquidated Damages? (Attach an Explanation if Yes) |_| Yes |_| No