697DCK-18-R-00102-0001.pdf

Attachment #5 Past Experience Form

Please provide all the requested information below. Please note that the references/POCs included in this form may or may not be contacted to verify information at the FAA’s discretion.

Project #1 Name of Project: ________________________________________________

Location of Project: _____________________________________________

Owner/Organization/Customer/Client:____________________

General Scope of Project (must be Janitorial):

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be at least $25,000)___________________

Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________

Client/Customer Point of Contact Name:__________________________________

Client/Customer POC Phone Number:____________________________________

Client/Customer POC Phone Number:____________________________________

Project #2 Name of Project: ________________________________________________

Location of Project: _____________________________________________

Owner/Organization/Customer/Client:____________________

General Scope of Project (must be Janitorial):

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be at least $25,000)___________________

Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________

Client/Customer Point of Contact Name:__________________________________

Project #3 Name of Project: ________________________________________________

Location of Project: _____________________________________________

Owner/Organization/Customer/Client:____________________

General Scope of Project (must be Janitorial):

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be at least $25,000)___________________

Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________

Client/Customer Point of Contact Name:__________________________________