Past Experience Form.pdf

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Attached to
Distance Measuring Equipment (DME) Roof Repair in Tanner, AL
Solicitation number
697DCK24R00453
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About this file

This document is a Past Experience Form that requests information about the contractor's past projects, including the name, location, owner, general scope, the contractor's role, percentage of completion, contract amount, and whether the contractor was terminated or assessed liquidated damages.

The related federal contract opportunity is for the repair of Distance Measuring Equipment (DME) roof in Tanner, AL, with an estimated project value under $100,000. A site visit is scheduled for 07/17/2024, and all questions are due by 07/18/2024. Proposals are due to the Federal Aviation Administration Southwestern Region by 07/25/2024. The contract will be awarded by the Department of Transportation Federal Aviation Administration Southwestern Region, which is a civilian agency.

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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 over $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 Email:____________________________________

Project #2 Name of Project: ________________________________________________

Location of Project: _____________________________________________

Owner/Organization/Customer/Client:____________________

General Scope of Project:

1__________________________________________________________________________________

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

Final Contract Amount (must be over $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:

Summary of Your Role in this Project: Prime Subcontractor

Percent Complete (must be at least 90%) _______________________________

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

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

Client/Customer Point of Contact Name:__________________________________

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