EXHIBIT E-4 Past Performance Questionnaire.docx
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EXHIBIT E-4
PAST PERFORMANCE QUESTIONNAIRE
You may recreate this form, but it must include all the information listed. If you fail to include all requested information or we are unable to contact your references based on the information you provide, you may not receive consideration for the work done. Include recent (not more than 3 years old) experience of the kind described in paragraph B1 of the specifications.
OFFEROR NAME:
DATE
Primary Type of Work Done:
| Location of Work Done: |
| A/C Make/Model Used: |
Contract #:
|_| None |_| Exclusive Use |_| Call When Needed
Use Dates: TO
CHECK ALL THAT APPLY
|_| 2019 |_|2018 |_|2017
Est. Annual Value of Work:
Estimated Annual Flight Hours:
Client Name/ Point of Contact:
| Client Telephone #: |
| Client Facsimile #: |
Primary Type of Work Done:
| Location of Work Done: |
| A/C Make/Model Used: |
Contract #:
|_| None |_| Exclusive Use |_| Call When Needed
Use Dates: TO
CHECK ALL THAT APPLY
|_| 2019 |_|2018 |_|2017
Est. Annual Value of Work:
Estimated Annual Flight Hours:
Client Name/ Point of Contact:
| Client Telephone #: |
| Client Facsimile #: |
Primary Type of Work Done:
| Location of Work Done: |
| A/C Make/Model Used: |
Contract #:
|_| None |_| Exclusive Use |_| Call When Needed
Use Dates: TO
CHECK ALL THAT APPLY
|_| 2019 |_|2018 |_|2017
Est. Annual Value of Work:
Estimated Annual Flight Hours:
Client Name/ Point of Contact:
| Client Telephone #: |
| Client Facsimile #: |
Primary Type of Work Done:
| Location of Work Done: |
| A/C Make/Model Used: |
Contract #:
|_| None |_| Exclusive Use |_| Call When Needed
Use Dates: TO
CHECK ALL THAT APPLY
|_| 2019 |_|2018 |_|2017
Est. Annual Value of Work:
Estimated Annual Flight Hours:
Client Name/ Point of Contact:
| Client Telephone #: |
| Client Facsimile #: |
Primary Type of Work Done:
| Location of Work Done: |
| A/C Make/Model Used: |
Contract #:
|_| None |_| Exclusive Use |_| Call When Needed
Use Dates: TO
CHECK ALL THAT APPLY
|_| 2019 |_|2018 |_|2017
Est. Annual Value of Work:
Estimated Annual Flight Hours:
Client Name/ Point of Contact:
| Client Telephone #: |
| Client Facsimile #: |
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