Question Set 1 Question 2 - Atch 6 Past Experience Form - 697DCK-26-R-00267.docx
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- Attached to
- Underground Utilities Improvement, Minneapolis Air Route Traffic Control Center (ZMP ARTCC), Farmington, MN
- Solicitation number
- 697DCK-26-R-00267
About this file
This is a Past Experience Form template required for submission in response to Federal Aviation Administration (FAA) Solicitation 697DCK-26-R-00267 for Underground Utilities Improvement at the Minneapolis Air Route Traffic Control Center (ZMP ARTCC) in Farmington, Minnesota. The form is used to demonstrate contractor qualifications and relevant past project experience.
Contractors must complete the form by providing detailed information for a minimum of two past projects, including project title, location, owner/organization/client, general scope of work, role (prime or sub-contractor), percent completion (minimum 90% required), final contract amount (minimum $500,000 required), and client point of contact information (name, email, and phone number). The FAA reserves the right to contact the listed references and points of contact to verify the information provided. Contractors may list additional projects using the same format. This documentation supports the solicitation for a small business set-aside under NAICS code 237110 (Water and Sewer Line and Related Structures Construction) for an estimated project value between $2,500,000 and $4,000,000 involving underground utility improvements including stormwater, sanitary sewer, drain tile, and domestic water systems.
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Text version
PAST EXPERIENCE FORM
697DCK-26-R-00267
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 information provided.
PROJECT #1
Title of Project: _________________________________________________________________ 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 $500k):___________________ Client/Customer Point of Contact: ______________________________________ Client/Customer Email: _______________________________________________ Client/Customer Phone Number: _______________________________________
PROJECT #2
Title of Project: _________________________________________________________________ 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 $500k):___________________ Client/Customer Point of Contact: ______________________________________ Client/Customer Email: _______________________________________________ Client/Customer Phone Number: _______________________________________
Please continue to list any additional projects using the format above.
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