Attachment 3 - Past Experience Form (Plumbing).docx

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Attached to
Sanitary Sewer Pipe Replacement at RDG ATCT Federal contract opportunity
Solicitation number
697DCK-22-R-00281
Issued by
Department of Transportation Federal Aviation Administration Southwestern Region

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697DCK-22-R-00281 (Amendment 0001)_CO Signed.pdf PDF
Attachment 2 - WD PA20220076 (Berks).pdf PDF
697DCK-22-R-00281.pdf PDF
Attachment 1 - RDG Sanitary Line SOW.pdf PDF

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Attachment 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 (must be Plumbing and/or General Construction Maintenance):

Summary of Your Role in this Project:|_| Prime |_|Subcontractor Percent Complete (must be at least 90%) _______________________________ Final Contract Amount (must be at least $10,000) ___________________ 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 (must be Plumbing and/or General Construction Maintenance):

Summary of Your Role in this Project:|_| Prime |_|Subcontractor Percent Complete (must be at least 90%) _______________________________ Final Contract Amount (must be at least $10,000) ___________________ 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 #3 Name of Project: ________________________________________________ Location of Project: _____________________________________________ Owner/Organization/Customer/Client: ____________________ General Scope of Project (must be Plumbing and/or General Construction Maintenance):

Summary of Your Role in this Project:|_| Prime |_|Subcontractor Percent Complete (must be at least 90%) _______________________________ Final Contract Amount (must be at least $10,000) ___________________ 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: ____________________________________

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