EXPERIENCE FORM Solicitation #: 18-41 Solicitation Name: St. Charles Well No. 16 Replacement Bidder/Offeror/Quoter: Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required herein. means accepted and final payment issued by the Owner. Firms which, in the sole “Completed” opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required. Reference #: Company/Firm Name: Address: Phone: Fax: Contact Person: Contact Person Title: Project Name: Original Project $ Amount Responsible for % of the project $ Amount of all Change Orders Project Begin Date Final Project $ Amount Original Project End Date # of days project was extended Why project was extended Location work was provided (specify City, State): Describe the work provided and explain how it relates to the work solicited: Reference #: Company/Firm Name: Address: Phone: Fax: Email: Contact Person: Contact Person Title: Project Name: Original Project $ Amount Responsible for % of the project $ Amount of all Change Orders Project Begin Date Final Project $ Amount Original Project End Date # of days project was extended Why project was extended
EXPERIENCE FORM Solicitation #: 18-41 Solicitation Name: St. Charles Well No. 16 Replacement Bidder/Offeror/Quoter: Bidder/Offeror/Quoter must provide the number of projects successfully completed in the time period specified in the Solicitation Document(s), similar in nature and scope to the work required herein. “Completed” means accepted and final payment issued by the Owner. Firms which, in the sole opinion of the County, lack sufficient specific experience, may be deemed non-responsible, and will not be considered for this project. Incomplete forms may be deemed non-responsive. This form may be duplicated if additional space is required. Letters of testament are desirable, but not required. Reference #: Company/Firm Name: Address: Phone: Fax: Contact Person: Contact Person Title: Project Name: Original Project $ Amount Responsible for % of the project $ Amount of all Change Orders Project Begin Date Final Project $ Amount Original Project End Date # of days project was extended Why project was extended Location work was provided (specify City, State): Describe the work provided and explain how it relates to the work solicited: Reference #: Company/Firm Name: Address: Phone: Fax: Email: Contact Person: Contact Person Title: Project Name: Original Project $ Amount Responsible for % of the project $ Amount of all Change Orders Project Begin Date Final Project $ Amount Original Project End Date # of days project was extended Why project was extended