16 Attachment 6 Past Experience Form.docx

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Attached to
Amend 001: Anapra, New Mexico Geotechnical Surveying Services
Solicitation number
6973GH-24-R-00030
Issued by

About this file

This document contains a Past Experience Information Form template to be completed by contractors. The form requests contact information for the contractor and details of up to three past projects, including contract/order numbers, values, statuses, titles, locations, descriptions of the contractor's roles and responsibilities. It also requests contact information for the project owners or managers at the client organizations.

The related federal contract opportunity is a modification to Solicitation Number 6973GH-24-R-00030 from the Department of Transportation Federal Aviation Administration Franchise Acquisition Services seeking geotechnical surveying services in Anapra, New Mexico. The modification amends the original solicitation.

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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 .