Attachment C - Past Experience Form - 697DCK-23-R-00528.docx
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- Solicitation number
- 697DCK-23-R-00528
About this file
This document is a past experience form for solicitation number 697DCK-23-R-00528 for a roof overlay replacement at the Memphis, TN air traffic control tower. Offerors are required to provide details on three past projects including title, location, owner, scope of work, role as prime or subcontractor, percentage complete which must be at least 90%, final contract amount which must be over $150,000, and points of contact. The scope of work for the federal contract opportunity involves replacing the roof overlay at the Memphis air traffic control tower for the Department of Transportation Federal Aviation Administration Southwestern Region.
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PAST EXPERIENCE FORM
697DCK-23-R-00528
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 $150k):___________________ 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 $150k):___________________ Client/Customer Point of Contact: ______________________________________
PROJECT #3
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 $150k):___________________ Client/Customer Point of Contact: ______________________________________
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