Past Experience Form - 697DCK-24-R-00416.pdf

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Attached to
Colorado Springs, CO - ATCT Mini-Split HVAC Replacement
Solicitation number
697DCK-24-R-00416
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This document is a Past Experience Form related to Solicitation Number 697DCK-24-R-00416 for the Replacement of Mini-Split HVAC at the Colorado Springs, CO Air Traffic Control Tower. The form requires the offeror to provide details on up to three relevant past projects, including the project title, contract number, location, client/customer information, a summary of the offeror's role (prime or subcontractor), the percent completion, and the final contract amount. The form specifies that the past projects must be at least 90% complete and have a final contract amount over $50,000. The related federal contract opportunity is a total small business set-aside with an estimated size range of $50,000 - $150,000. The solicitation package includes the specifications, drawings, and applicable wage determination. A site visit will be offered, and questions must be submitted in writing to the Contracting Officer by 6/1/24.

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PAST EXPERIENCE FORM

697DCK-24-R-00416

Please provide all the requested information below. At the FAA’s discretion, note that the references/POCs included on this form may or may not be contacted to verify and information provided.

Additionally, the references may be contacted to complete a past performance questionnaire related to these projects.

PROJECT #1

Title of Project: _________________________________________________________________

Contract #:_____________________________________________________________________

Location: ______________________________________________________________________

Owner/Organization/Client: _______________________________________________________

General Scope of Project: _________________________________________________________

Summary of Role in Project (Check One): ______ Prime ______ Sub-Contractor

Percent Complete (Must be at least 90%):_______________

Final Contract Amount (Must be over $50k):___________________

Client/Customer Point of Contact: ______________________________________

Client/Customer Email: _______________________________________________

Client/Customer Phone Number: _______________________________________

PROJECT #2

Title of Project: _________________________________________________________________

Contract #:_____________________________________________________________________

Location: ______________________________________________________________________

Owner/Organization/Client: _______________________________________________________

General Scope of Project: _________________________________________________________

Summary of Role in Project (Check One): ______ Prime ______ Sub-Contractor

Percent Complete (Must be at least 90%):_______________

Final Contract Amount (Must be over $50k):___________________

Client/Customer Point of Contact: ______________________________________

PROJECT #3

Title of Project: _________________________________________________________________

Contract #:_____________________________________________________________________

Location: ______________________________________________________________________

Owner/Organization/Client: _______________________________________________________

General Scope of Project: _________________________________________________________

Summary of Role in Project (Check One): ______ Prime ______ Sub-Contractor

Percent Complete (Must be at least 90%):_______________

Final Contract Amount (Must be over $50k):___________________

Client/Customer Point of Contact: ______________________________________

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