Attachment 3-Past Experience Form.pdf

PDF 122 KB Posted

Attached to
Janitorial Services at FAA Samoa SSC ( TUT , TUTA ATBM &TUT EOC)
Solicitation number
697DCK-19-R-00023
Issued by

About this file

From the source

Attachment 3-Past Experience Form (pdf)

View the file

Other files

File Type Posted
697DCK-19-R-00023.pdf PDF
Attachment 2-Wage determination for American Samoa.pdf PDF
Attachment 4- Site Visit Registration Form -Samoa SSC.pdf PDF
Attachment 1 -TUT Janitorial Svc SOW.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

FAA Solicitation No. 697DCK-19-R-00023 Attachment #3

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:

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be at Greater than $10,000) ___________________

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 Email:____________________________________

Past Experience Form

Project #2

Name of Project: ________________________________________________

Location of Project: _____________________________________________

Owner/Organization/Customer/Client: ____________________

General Scope of Project:

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be at Greater than $10,000) ___________________

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

Client/Customer Point of Contact Name:__________________________________

Past Experience Form

Project #3

Name of Project: ________________________________________________

Location of Project: _____________________________________________

Owner/Organization/Customer/Client: ____________________

General Scope of Project:

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be at Greater than $10,000) ___________________

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

Client/Customer Point of Contact Name:__________________________________

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
Project #2
Project #3

File details come from the government source that posted it.