Attachment 6 - Past Experience Form.docx

DOCX document 27 KB Posted

Attached to
Install a Localizer Antenna on Runway 32 at the Fort Wayne International Airport, Fort Wayne, IN
Solicitation number
697DCK-22-R-00280
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File Type Posted
Amentment 0002 Attachment 2 - 063022 Red Lined C90-419 FWA Runway Antenna Install_SOW.pdf PDF
697DCK-22-R-00280 (Amendment 0002)_CO Signed.pdf PDF
Amentment 0002 Attachment 3 - 697DCK-22-R-00280 063022 Response FWA Bid Questions 6-24-22.pdf PDF
Amentment 0002 Attachment 1_063022 Red Lined C90-419 FWA Runway Antenna Install_Drawings.pdf PDF
697DCK-22-R-00280 (AMENDMENT 0001)_CO Signed.pdf PDF
Attachment 1 - Antenna Installation Project SOW.pdf PDF
Attachment 3 - WD IN20220002(ALLEN).pdf PDF
697DCK-22-R-00280 (FINAL).pdf PDF
Attachment 4 - SF25A Payment Bond.pdf PDF
Attachment 2 - Antenna Installation Project Drawings.pdf PDF
Attachment 5 - SF25 - Performance Bond.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 Electrical, Installation, and Servicing of Electrical Wiring and Equipment 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 Electrical, Installation, and Servicing of Electrical Wiring and Equipment 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 Electrical, Installation, and Servicing of Electrical Wiring and Equipment 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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