Attachment C - Past Experience Form - 697DCK-23-R-00445.docx

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Removal of Ash Trees at the Longmont, CO ARTCC
Solicitation number
697DCK-23-R-00445
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File Type Posted
697DCK-23-R-00445 - Amendment No. 001.pdf PDF
Attachment A - SOW Ash Tree Removal at Longmont ARTCC.pdf PDF
Request for Offer - 697DCK-23-R-00445.pdf PDF
Attachment B - SCA Wage Determination - 2015-5415.pdf PDF

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PAST EXPERIENCE FORM

697DCK-23-R-00445

Please provide all the requested information below. At the FAA’s discretion, note that the references/POCs included on this form may or may not be contacted to verify information provided.

PROJECT #1

Title of Project: _________________________________________________________________ Location: ______________________________________________________________________ Owner/Organization/Client: _______________________________________________________ General Scope of Project: _________________________________________________________ Summary of Role in Project (Check One): ______ Prime ______ Sub-Contractor Percent Complete (Must be at least 90%):_______________ Final Contract Amount (Must be over $25k):___________________ Client/Customer Point of Contact: ______________________________________ Client/Customer Email: _______________________________________________ Client/Customer Phone Number: _______________________________________

PROJECT #2

Title of Project: _________________________________________________________________ Location: ______________________________________________________________________ Owner/Organization/Client: _______________________________________________________ General Scope of Project: _________________________________________________________ Summary of Role in Project (Check One): ______ Prime ______ Sub-Contractor Percent Complete (Must be at least 90%):_______________ Final Contract Amount (Must be over $25k):___________________ Client/Customer Point of Contact: ______________________________________ Client/Customer Email: _______________________________________________ Client/Customer Phone Number: _______________________________________

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