Offeror_Experience_Form.docx

OFFEROR EXPERIENCE COVER SHEET

PROJECT INFORMATION

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

CUSTOMER INFORMATION

5. Customer Point of Contact Name:

Title:

Phone Number:

Email Address:

4. Project Description:

Type of Crane |_| Gantry |_| Semi-Gantry |_| Bridge |_| Other Crane Capacity:

Gantry and Hoisting Travel Speeds:

How is this project relevant to project of submission? (Please provide details such as design, fabrication, assembly, factory testing, transportation, erection, field testing, load testing.)