Attachment 1 Past Experience History.docx

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Bismarck, ND - HVAC Units and controls Replacement, ATCT, Bismarck Municipal Airport
Solicitation number
DTFACN-16-R-00095
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Attachment 1 Past Experience History (docx)

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Attachment 2- Sensitive Security Information Form.doc DOC document
Attachment 3 - Business declaration 2013.doc DOC document

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Attachment #1 Past Experience History Project #1 Firm’s Name: __________________________________________________ Name of Project: ________________________________________________ Location of Project: _____________________________________________ Owner/Organization:____________________ General Scope of Construction Project, include work performed similar to the scope of current project: __________________________________________________________________________________ Is this an FAA Contract Yes |_| No |_| Summary of Your Role in this Project:|_| Prime |_|Subcontractor Final Contract Amount___________________ Extent and Type of Work You Subcontracted:________________________________________________ Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________ Owner’s Point of Contact for Reference (Name and Company)__________________________________ Current Telephone Number of Reference POC and current email address:__________________________ Project #2 Firm’s Name:__________________________________________________ Name of Project:________________________________________________ Location of Project: _____________________________________________ Owner/Organization:___________________ General Scope of Construction Project, include work performed similar to the scope of current project: __________________________________________________________________________________ Is this an FAA Contract Yes |_| No |_| Summary of Your Role in this Project:|_| Prime |_|Subcontractor Final Contract Amount______________ Extent and Type of Work You Subcontracted:________________________________________________ Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________ Owner’s Point of Contact for Reference (Name and Company)__________________________________ Current Telephone Number of Reference POC and current email address:__________________________

Project #3 Firm’s Name:__________________________________________________ Name of Project:________________________________________________ Location of Project: _____________________________________________ Owner/Organization:_____________________ General Scope of Construction Project, include work performed similar to the scope of current project: _____________________________________________________________________________________ Is this an FAA Contract Yes |_| No |_| Summary of Your Role in this Project:|_| Prime |_|Subcontractor Final Contract Amount______________ Extent and Type of Work You Subcontracted:________________________________________________ Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________ Owner’s Point of Contact for Reference (Name and Company)__________________________________ Current Telephone Number of Reference POC and current email address:__________________________

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