Attachment 3 Organizational Experience Information Form 3.18.24.docx

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Attached to
Occupational Health and Medical Consultant
Solicitation number
6973GH-24-R-00101
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This document is an Organizational Experience Information Form to be completed by the offeror and submitted with their proposal for the federal contract opportunity, Solicitation Number 6973GH-24-R-00101 for Occupational Health and Medical Consulting services. The solicitation is a small disadvantaged business set-aside, with proposals due by 4:00 p.m. Central Time on May 11, 2024. The contract is for the Federal Aviation Administration's Mike Monroney Aeronautical Center. The form requires the offeror to provide details on a previous contract, including the contract number, dollar value, status, project description, and contact information for the project owner or manager. Offerors are instructed to follow the proposal submission requirements outlined in Sections L and M of the solicitation.

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Text version

6973GH-24-R-00101

Attachment 3

ORGANIZATIONAL EXPERIENCE INFORMATION

***To be completed by Offeror – Submit with proposal per SIR Section L***

1. Contractor:

Name:

Address:

2. Contract /Task Order(TO) /Purchase Order (PO) Number:

3. Contract/TO/PO Dollar Value:

4. Contract/TO /PO Status: |_| Active |_| Complete

Completion Date (w/ extensions):

5. Project Title:

Location:

6. Project Description-- to include the role of the contractor on the project and specific responsibilities of the contractor in performance of the effort:

7. Project Owner or Project Manager for the Client – provide:

Name:

Address:

Telephone Number and E-mail:

Attachment 3

File details come from the government source that posted it. Updated .