Attachment 7 - Past Experience Form.pdf
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- Attached to
- Demolition/Installation of the Tower Platform, (IMB) VHF Omnidirectional Range (VOR), Kimberly, Oregon
- Solicitation number
- 697DCK-23-R-00225
About this file
This document contains a past experience form and details of a federal contract opportunity for demolition and installation work. The past experience form requests information on three previous projects involving construction of wooden framed structures with concrete foundations with budgets between $150,000 and $200,000. References and points of contact are required. The federal contract opportunity is for demolition and installation associated with a tower safety project at a VOR site in Kimberly, Oregon. Work includes demolition of existing structures, excavation, construction of a new slab and exterior staircase, and installation of safety handrails and coatings. The prime contractor must provide all labor, equipment, and materials. The solicitation number is 697DCK-23-R-00225 and is issued by the Department of Transportation Federal Aviation Administration Southwestern Region.
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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 (Requirements: Minimum 2 years of experience in the construction of wooden framed structures with concrete foundations with project budgets between $150K and $200K, with a minimum of 3 example projects):
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 (Requirements: Minimum 2 years of experience in the construction of wooden framed structures with concrete foundations with project budgets between $150K and $200K, with a minimum of 3 example projects):
Summary of Your Role in this Project: Prime Subcontractor
Attachment Past Experience Form
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 (Requirements: Minimum 2 years of experience in the construction of wooden framed structures with concrete foundations with project budgets between $150K and $200K, with a minimum of 3 example projects):
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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