Attachment 5 - Past Performance Experience Form.doc

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Attached to
Parking Lot Pavement Replacement - Weldon Springs, MO
Solicitation number
6973GH-20-R-00162
Issued by

About this file

This document provides details for a request for proposal for a parking lot pavement replacement project at a TRACON facility in Weldon Springs, Missouri. The solicitation number is 6973GH-20-R-00162 and is seeking proposals to replace the parking lot at the T75 TRACON Facility in accordance with the attached statement of work, drawings, specifications and other documents. This is a small business set-aside with a NAICS code of 237310 for Highway, Street, and Bridge Construction and a size standard of $39.5 million. Proposals are due no later than 5:00 pm Eastern Time on August 21, 2020 and must be emailed to abigael.k.schultz@faa.gov with the subject line "RFP 6973GH-20-R-00162." The soliciting agency is the Department of Transportation Federal Aviation Administration Franchise Acquisition Services.

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Text version

PAST PERFORMANCE INFORMATION FORM

(To be completed by Contractor)

1. Contractor:

Name:

Address:

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

3. Contract/TO/PO Dollar Value:

4. Contract/TO /PO Status: FORMCHECKBOX Active FORMCHECKBOX 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:

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