00_24_00_Attachment_A_-_Experience_Form__26_Jun_2018.docx

00 24 00 - ATTACHMENT A

FACTOR A: CORPORATE EXPERIENCE AND CAPABILITIES FORM

USE ONE FORM PER PROJECT

Note: A separate Word version of this document will be accessible on fedbizopps at fbo.gov

1. Type of Experience Represented and indicate if as Prime Contractor or Subcontractor:

A.1 Fabrication of oil hydraulic machinery and hoists with a capacity of 10 tons or more for hydraulic gates, cranes, or movable bridges.

A.2 Installation of either electromechanical operated mechanical hoists or oil hydraulic hoist machinery for hydraulic gates or movable bridges.

A.1 _____ Prime Contractor _____ Subcontractor _____

A.2 _____ Prime Contractor _____ Subcontractor _____

Firm for which recent/relevant information is being provided (i.e. name of offeror or subcontractor):

Firm:

☐ Check the box if a Letter of Commitment is included (if Applicable)

a. Project Name:

b. Contract or Subcontract Number:

c. Date of Award:

d. Contract Value:

e. Date of Completion/Percent Complete:

f. Contract Duration:

g. Project Location (City and State):

h. Project Description:

i. Describe the work performed is relevant to the solicitation.

j. Was this work performed as a subcontract? ☐Yes ☐ No

k. Prime Contractor:

a. Name:

b. Complete Address:

c: Phone d: Email