Past Experience Form.pdf

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Attached to
IIJA Funded - Fire Alarm Retrofit (PHL ATCT/TRACON)
Solicitation number
697DCK25R00058
Issued by

About this file

The Past Experience Form is a document for the FAA's solicitation 697DCK25R00058 for a Fire Alarm Retrofit project at the Philadelphia ATCT/TRACON facility. The form requires offerors to document three past projects, including details such as project name, location, client, scope, role (prime or subcontractor), percent completion (minimum 90%), contract amount (over $25,000), and point of contact information. This form is part of a small business set-aside procurement with an estimated construction magnitude between $50,000 and $100,000, to be awarded to the lowest-priced, responsible offeror. A mandatory site visit is scheduled for 4/2/25 at 10AM ET, and electronic offer submissions are required by the specified deadline, with all questions to be submitted in writing to the designated FAA contacts.

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Text version

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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