Appendix_C.docx

Appendix C

OFFEROR EXPERIENCE FORM

Technical Factor: __________ Factor Title: ___________________________ Name of Offeror: ______________________________ Project Title: _________________________________________________________________ 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 type of crane, capacity, travel speed, drive configuration, controls upgrades, systems designed, codes and standards used in design):

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Offeror’s role and responsibility during 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 Approach Factor 1 – Experience (include design experience):