Attachment_1-_Work_Experience.docx

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Attached to
Storm Drain Cleaning and Inspection Federal contract opportunity
Solicitation number
W912CN-18-Q-0085
Issued by
Department of the Army Materiel Command Expeditionary Contracting Command Regional Contracting Office Hawaii 413th CSB

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Attachment 1- Work Experience

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W912CN-18-Q-0085

ATTACHMENT 1

WORK EXPERIENCE INFORMATION

STORM DRAIN CLEANING

NOTE: The offeror is responsible for reproducing copies of this form. Limit to references within the past three (3) years.

1. Offeror/Vendor Name: ________________________________________________________

2. Name of Reference/Customer: _________________________________________________________

3. Phone No.: ________________________ Fax No.: _________________

Email: _______________________________________________

3. Contract Number: _____________________________________

4. Project Title: ________________________________________

5. Brief Description of Scope of Work: ____________________________________________________

6.Period of Performance:
Base Year:____________________________
1st Option:____________________________
2nd Option:____________________________
3rd Option:____________________________
4th Option:____________________________
7.Contract Amount:
Base Year:$ __________________
1st Option:$ __________________
2nd Option:$ __________________
3rd Option:$ __________________
4th Option:$ __________________

Total: $ __________________

8. Discuss and provide a narrative of how the services performed in this work experience information are relevant to this requirement in terms of nature, scope, size, magnitude and complexity.

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