Attachment_A.doc

Attachment A

OFFEROR EXPERIENCE FORM

Name of Offeror: ______________________________

Project Title: _________________________________________________________________

Describe if this project experience is for design, fabrication and/or installation: ____________________________

Contract/Project Number: _________________________

Project Location: _________________________________

Total Contract Value: $_______________

(Final value if completed, current value if not completed)

If Offeror performed as Subcontractor, Value of Subcontract: $_______________

Construction Phase Start Date: ___________________________________

Construction Phase Completion Date: ______________________________

(Actual date if project has been completed, anticipated date if project is not complete, must be at least 50% complete to be considered)

Name of Customer/Client: ______________________________________________________

Telephone Number of Customer/Client: __________________________________________

Email Address of Customer/Client: ______________________________________________

Description of Project’s Scope. (Include adequate detail such as crane type, capacity, and configuration to demonstrate the relevancy of the scope of work for comparison to that required in this solicitation.)

Offeror’s role and responsibility during design, fabrication and/or construction of the project (indicate whether your firm performed as a prime or subcontractor and what percentage of work did you perform on the project):

Describe and demonstrate the relevancy of the referenced project as it pertains to Evaluation of Proposals – Factor 1 – Past Experience: