AttachmentA.pdf

FOR OFFICIAL USE ONLY

SOURCE SELECTION SENSITIVE INFORMATION

Source Selection Information – See FAR 2.101 and 3.104

ATTACHMENT A

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.