Attachment_B_OFFERORS_EXPERIENCE_FORM.docx

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Cougar Oil Spill Prevention System
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W9127N-16-R-0010
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ATTACHMENT B

OFFEROR’S EXPERIENCE FORM

NAME OF OFFEROR: ____________________________________________________________________________

PROJECT TITLE: ________________________________________________________________________________

CONTRACT NUMBER: ___________________________________________________________________________

GEOGRAPHIC LOCATION: ______________________________________________________________________

CONTRACT AWARD AMOUNT (U.S. DOLLAR) $____________________________________________________

FINAL CONTRACT AMOUNT (U.S. DOLLAR) $_____________________________________________________

CONTRACT COMPLETION DATE: _______________________________________________________________

CONTRACT DURATION (PERIOD OF PERFORMANCE): ___________________________________________ (If not complete, provide % currently complete)

DESCRIPTION OF THE PROJECT’S SCOPE AND MAGNITUDE: (The description should provide sufficient detail to demonstrate the similarities with the proposed project.) ____________________________________________________________________________________________________

DETAILS OF OFFEROR’S INVOLVEMENT IN THE PERFORMANCE OF THE PROJECT: (Include whether your firm participated as a prime, subcontractor, or joint-venture, and state percentage performed and whether performed as subcontractor or prime. Specifically describe your roles and responsibilities in the design/construction portion of the project and specific tasks accomplished that are similar to the solicitation requirement.

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