Contractor's_Experience_Form.docx
DOCX document 12 KB Posted
- Attached to
- Dillard Dry Dock Services Federal contract opportunity
- Solicitation number
- W912P7-18-T-0009
About this file
Contractor Experience Form
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Q_A.pdf | ||
| Drawings_and_Specs.pdf | ||
| Dillard_Drydock_PWS_2018.pdf | ||
| Marin_Wage_Determination.pdf | ||
| FAR_Provisions.pdf | ||
| Line_Item_Breakdown_Pricing_Schedule.xlsx | XLSX spreadsheet |
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Text version
SOLICITATION NUMBER: __W912P718QNEA1_________________________________
PROJECT TITLE: __Bay Model Fish Tank Maintenance________________________________
PLEASE COMPLETE ALL REQUESTED INFORMATION
Name: ___Derrick Fong________________________________ Company name: __Atlantis Aquatic Maintenance________________________________ Street Address: __7 Bothin Road______________________________________ City: _Fairfax____________________ State: _CA_____ Zip: __94930__ Phone number: __(415)462-6969_____________________________ DUNS: __927712299______________________ CAGE Code: _5L5H0________ Will you be performing this Work?
__X__ Yes (list experience) _____ Yes, with help of Subcontractor (Please list experience of your firm and Subcontractor) Employee / Subcontractor’s Name: ___________________________________________ ** FAR 52.219-14 requires that at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.
Number of Employees who will be working on this contract:
Full Time: __1__________ Part Time: ___________ Seasonal: ___________ Do you and your Subcontractor have Commercial Cleaning Experience?
________ Yes Years: ____________ Months: __________ _________ No ____X____ N/A
EXPERIENCE #1
Self or Subcontractor? __Self_____________________________________ Job Title: __Aquarium Maintenance________________________________ Date work performed: _2002-2018_________________________________ Reference name: __San Francisco Bay model________________________ Reference Telephone Number: __(415)332-3871_____________________ Additional Information: Performed aquarium maintenance at the Bay Model
EXPERIENCE #2
Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________ Date work performed: __________________________________________ Reference name: _______________________________________________ Reference Telephone Number: ___________________________________ Additional Information:
EXPERIENCE #3
Self or Subcontractor? ___________________________________________ Job Title: _____________________________________________________ Date work performed: __________________________________________ Reference name: _______________________________________________ Reference Telephone Number: ___________________________________ Additional Information:
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