Att 5-Organizational Experience Information Form.docx

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Attached to
ARSR4 Collector Power Supply Test Station Solicitation
Solicitation number
6973GH-27-R-00006
Issued by

About this file

This is an Organizational Experience Information Form template designed for contractors to document their relevant project experience in response to solicitation 6973GH-27-R-00006 for the ARSR4 Collector Power Supply Test Station. The form is a blank template provided in triplicate, allowing contractors to submit up to three examples of comparable past performance.

Contractors must complete each form instance with specific information including: contractor name and address; contract, task order, or purchase order number and dollar value; contract status and completion dates; project title and location; detailed project description including the contractor's specific role and responsibilities; and project owner or project manager contact information (name, address, telephone, and email). This form is part of the FAA's full-and-open competition solicitation for the acquisition of a test station capable of testing and repairing both ARSR4 Collector Power Supply and Preamplifier Power Supply units. The NAICS code is 334290 (Other Communications Equipment Manufacturing) with a small business size standard of 800 employees. The form serves as documentation to support the government's determination of contractor responsibility and relevant experience for this equipment manufacturing and test capability requirement.

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Text version

6973GH-27-R-00006

ARSR4 Collector Power Supply Test Station

ORGANIZATIONAL 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:

ORGANIZATIONAL EXPERIENCE INFORMATION FORM

(To be completed by Contractor)

1. Contractor:

Name:

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:

ORGANIZATIONAL EXPERIENCE INFORMATION FORM

(To be completed by Contractor)

1. Contractor:

Name:

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:

Attachment 6

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