Attachment J-3 - Past Experience Form.pdf

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Attached to
Design and Installation of ADA Compliant Door System - Denver ARTCC
Solicitation number
697DCK-26-R-00402
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About this file

This is a Past Experience Form (Attachment J-3) for Federal Aviation Administration (FAA) contract opportunity 697DCK-26-R-00402. The form is a template designed to collect detailed information about a contractor's relevant past performance on up to three similar projects.

For each project, respondents must provide the project title, contract number, location, owner/organization/client name, and a general scope of work description. Contractors must indicate whether they served as a prime contractor or sub-contractor, provide the project completion percentage (minimum 90% required), and disclose the final contract amount (minimum $100,000 required). Additionally, contractors must supply the client/customer point of contact information, including name, email address, and phone number. The FAA notes that references and points of contact included on this form may or may not be contacted at the FAA's discretion to verify the information provided and potentially complete a past performance survey related to the projects. The form provides identical data collection sections for three separate projects, allowing comprehensive evaluation of the contractor's relevant experience and past performance capabilities.

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Attachment J-3 - PAST EXPERIENCE FORM

697DCK-26-R-00402

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 the information provided. Additionally, the references may be contacted to complete a past performance survey related to these projects.

PROJECT #1

Title of Project:

Contract #:_____________________________________________________________________

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 $100k):___________________

Client/Customer Point of Contact: ______________________________________

Client/Customer Email: _______________________________________________

Client/Customer Phone Number: _______________________________________

PROJECT #2

Title of Project:

Contract #:_____________________________________________________________________

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 $100k):___________________

Client/Customer Point of Contact: ______________________________________

PROJECT #3

Title of Project:

Contract #:_____________________________________________________________________

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 $100k):___________________

Client/Customer Point of Contact: ______________________________________

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