Attachment 4 Past Experience Form.pdf

PDF 84 KB Posted

Attached to
Chiller Replacement Project - Reno, NV ATCT Federal contract opportunity
Solicitation number
697DCK23R00110
Issued by
Department of Transportation Federal Aviation Administration Southwestern Region

About this file

This document contains a past experience form and information on a federal contract opportunity for replacing chillers at an air traffic control tower in Reno, Nevada. The past experience form requests information on three previous projects including name, location, owner, scope of work, role, percent completion, final contract value, and references. The federal contract opportunity is solicitation number 697DCK23R00110 to replace two 70-ton air cooled chillers at the Reno air traffic control tower. The contractor must remove and replace the chillers one at a time to ensure continuous operation of at least one chiller. Additional requirements include rigging, piping, electrical work, insulation, start-up, testing and balancing, integration into the building automation system, training, and warranties. The opportunity is with the Department of Transportation Federal Aviation Administration Southwestern Region.

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Other files for this federal contract opportunity

Other files attached to Chiller Replacement Project - Reno, NV ATCT, newest first.
File Type Posted
697DCK-23-R-00110 P00001.pdf PDF
697DCK-23-R-00110 FAA Chiller QA.pdf PDF
SOW - Specifications - RNO ATCT Chiller Replacement Project.pdf PDF
697DCK-23-R-00110.pdf PDF
DRAWING - RNO-D-ATCT CHILLER REPLACEMENT PROJECT DRAWINGS.pdf PDF
COVID-19 Contractual Requirement.pdf PDF
Wage Determination - Nevada - Washoe County.pdf PDF

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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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