Form Past Performance_Experience Information.docx

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Attached to
BIL FUNDED - Fire Alarm Retrofit Project
Solicitation number
697DCK-25-RFl-00283
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About this file

This document is a form for submitting Past Performance/Experience Information related to a federal contract opportunity for a Fire Alarm Retrofit Project. The project involves removing older fire alarm system hardware and replacing it with new Siemens fire alarm system hardware, including a new Fire Alarm Control Unit (FACU), remote annunciator hardware, and new alarm initiating devices.

The key requirements for responding to this opportunity are: 1) Provide a Capability Statement, 2) List two fire alarm system projects valued over $25,000 completed within the last 3 years, and 3) Provide documentation of an official Siemens USA Fire Alarm Systems Partnership. The Solicitation Number is 697DCK-25-RFl-00283 and the contracting agency is the Department of Transportation Federal Aviation Administration Southwestern Region. Responses must address the requirements outlined in the Statement of Work for this project.

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697DCK- ATTACHMENT 3

Past Performance / Experience Information Offeror’s Information Name of Firm

Contact Person

Phone / Email

RELEVANT WORK HISTORY / LIST OF REFERENCES

List at least three projects with the same or similar size and scope requirements as this acquisition, completed within the last 5 years that demonstrate your ability to complete work as outlined in the Statement of Work for this requirement. Relevant experience may include a mix of the Prime and subcontractors’ information.

Owner/Agency

Contract Number

Date Complete:

Project Name & Location

Description of Work

Amount

Prime or Subcontractor

Reference’s Name, phone, and email

Owner/Agency

Contract Number

Date Complete:

Project Name & Location

Description of Work

Amount

Prime or Subcontractor

Reference’s Name, phone, and email

Owner/Agency

Contract Number

Date Complete:

Project Name & Location

Description of Work

Amount

Prime or Subcontractor

Reference’s Name, phone, and email

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