16 Attachment 6 Past Experience Form.docx

DOCX document 18 KB Posted

Attached to
Amend 0001: Douglas, Arizona Geotechnical Surveying Services
Solicitation number
6973GH-24-R-00014
Issued by

About this file

This document is a past experience information form template to be completed by contractors responding to Solicitation Number 6973GH-24-R-00014 from the Department of Transportation Federal Aviation Administration Franchise Acquisition Services. The form requests information including the contractor name and address, contract or task order numbers and values, project titles and locations, descriptions of the contractor's role and responsibilities, and contact information for project owners or managers. The related federal contract opportunity is for geotechnical surveying services in Douglas, Arizona, with no other details provided.

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Text version

Announcement

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 .