Attachment_A_Offeror's_Experience_Form.pdf

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Attached to
John Day Powerhouse Drainage Gallery Repairs
Solicitation number
W9127N19R0012
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Offeror's 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 A

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)

(The description should provide sufficient detail to demonstrate the similarities with the proposed 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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