ATTACHMENT_C.pdf

ATTACHMENT C

CONSTRUCTION EXPERIENCE FORM

PROJECT No: (Circle one): 1 2 3 4 5 6 7 8 9 10

Name of Reference Contact: _______________________________________

E-mail Address: __________________________________________________

Telephone Number:_______________________________________________

Project Title: _____________________________________________________

Contract Number:_________________________________________________

Location of Project: _______________________________________________

Contract Amount (U.S. Dollar Amount): $_____________________________

Contract Award Date:_____________________________________________

Contract Completion Date:_________________________________________

Contract Duration (Period of Performance):___________________________

Description of the Project’s Scope and Magnitude:

Details of your company’s role and activities during construction of the project:

(Describe your role in this project. Include whether your firm participated as a prime or a subcontractor. SPECIFICALLY describe your roles and responsibilities in the design portion of the contract. Provide details for any past performance problems encountered and the corrective actions taken.