Attachment 4 - Past Experience Information Form.docx

DOCX document 19 KB Posted

Attached to
AMENDMENT 0002 - ADA Compliant Ramp Installation Project at FAA's Seattle Air Route Traffic Control Center (ARTCC) in Auburn, WA
Solicitation number
697DCK-24-R-00305
Issued by

About this file

This document is a Past Performance Experience Information form, which requests details about the offeror's prior experience on relevant contracts. The key details include:

The form requires the offeror to provide information about a prior government, commercial, or other organization contract, including the agency/firm name and address, contract number, project title, dates of performance, whether the offeror was the prime or subcontractor, initial and final contract amounts, technical and contracting points of contact, location of work, a detailed description of the contract work, any subcontractors used, and the current status of the contract. The offeror must explain the relevance of the prior work to the requirements of the solicitation.

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Past Performance Experience Information

1. Name of Government Agency, Commercial Firm, or other Organization

2. Address of Agency, Firm, or Organization

3. Contract Number or other reference

4. Project Title

5. Date of Contract
6. Were you Prime or Subcontractor?
7. Date work began
8. Date work was completed

9. Initial contract price, estimated cost and fee, or target cost and profit or fee

10. Final amount invoiced or amount invoiced to-date

11a. Technical point of contact (name, title, telephone no., and email address

11b. Contracting or purchasing point of contact (name, title, telephone no., and email address)

12. Location of work (country, state, county, city)

13. Description of contract work. Describe nature and scope of the work. Provide a detailed explanation demonstrating relevance of the contract to the requirements of the solicitation. (Attach an explanation of any performance problem or other conflicts with the customer. Describe any litigation; pending, on-going, or completed. Use a continuation sheet, if necessary.)

14. Name(s) of subcontractor(s) used, if any, and a description of the extent of work performed by the subcontractor(s).

15. Current status of contract (choose one):

_____Work continuing, on schedule _____Work continuing, behind schedule _____Work completed, no further action pending or underway _____Work completed, routine administrative action pending or underway _____Work completed, claims negotiations pending or underway _____Work completed, litigation pending or underway _____Terminated for convenience _____Termination for default _____Other (explain): _______________________________________________________________________________________________________________

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