ATTACHMENT_A6_-_Offeror's_Experience_Form.pdf

ATTACHMENT A6

OFFEROR’S EXPERIENCE FORM

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Contractor’s Name (Who performed the work?):

Project Name:

Project Location:

City, State

Project Owner: Point of contact information (owner name, POC name, address, and phone minimum) If Government Contract, additionally provide the contract number and contracting office)

Detailed Description: General scope and relevance. Provide a description of the project. Be sure to include features of this project that make it comparable in type or nature to the proposed project described in this request for proposal.

Detailed Explanation of Relevancy:

Problems encountered during performance and solutions to stated problems:

Lessons learned:

BGSF: XXX,XXX Lost Time Accidents:

Schedule:

Start Date:

MM-DD-YYYY

Original Completion:

MM-DD-YYYY

Final Contract Completion:

MM-DD-YYYY

Beneficial Occupancy Date:

MM-DD-YYYY

Cost Original Project Cost:

Final Project Cost:

Cost Difference

Original Subcontractor Cost:

Final Subcontractor Cost:

Cost Difference