16 Attachment 6 Past Experience Form.docx

DOCX document 20 KB Posted

Attached to
Yuma, AZ Geotechnical and Drilling Services
Solicitation number
6973GH-24-R-00218
Issued by

About this file

This document is a Past Experience Information Form to be completed by a contractor submitting information on a previous contract. The form requests details on the contractor, the contract/task order/purchase order number, dollar value, status, project title and location, project description including the contractor's role and responsibilities, and contact information for the project owner or manager.

The related federal contract opportunity is for Yuma, AZ Geotechnical and Drilling Services, solicitation number 6973GH-24-R-00218. It is being issued by the Department of Transportation Federal Aviation Administration Franchise Acquisition Services in support of the United States Border Patrol. The requirement is for technical design, engineering, geophysical and geotechnical services to provide the design, planning, management, and execution of up to 15 boreholes of up to 42" in diameter and 100' deep, with 15 of the boreholes to be maintained as permanent observation wells. Cone penetration testing may also be required, along with optional technology deployment services.

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Text version

Announcement 6973GH-22-R-00020

PAST EXPERIENCE INFORMATION FORM

(To be completed by Contractor)

1. Contractor:

Name:

Address:

2. Contract /Task Order(TO) /Purchase Order (PO) Number:

3. Contract/TO/PO Dollar Value:

4. Contract/TO /PO Status: |_| Active |_| Complete

Completion Date (w/ extensions):

5. Project Title:

Location:

6. Project Description-- to include the role of the contractor on the project and specific responsibilities of the contractor in performance of the effort:

7. Project Owner or Project Manager for the Client – provide:

Name:

Address:

Telephone Number and E-mail:

Past Performance Experience Form

File details come from the government source that posted it. Updated .