Attachment_B_Offeror_Experience_Form.pdf

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COUGAR SPILLWAY GATE REHAB
Solicitation number
W9127N-16-R-0052
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Offeror Experience Form

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FOR OFFICIAL USE ONLY

SOURCE SELECTION SENSITIVE INFORMATION

“Source Selection Information -- See FAR 2.101 and 3.104.”

ATTACHMENT B

OFFEROR’S EXPERIENCE FORM

NAME OF OFFEROR:_________________________________________________________________

PROJECT TITLE AND LOCATION:____________________________________________________

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

CONTRACT START DATE: ___________________________________________________________

CONTRACT COMPLETION DATE AND % COMPLETE: _________________________________

OWNER (AGENCY/BUSINESS, POINT OF CONTACT, AND TELEPHONE NUMBER):

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

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. Additional sheets can be added.

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