Experience Information Form.doc

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Attached to
6973GH-25-R-00060 Mobile Shelter IDIQ
Solicitation number
6973GH-25-R-00060
Issued by

About this file

This is an Experience Information Form template that contractors must complete to provide details about their past performance on relevant contracts. The form requires contractors to provide their company information, contract/task order numbers, dollar values including modifications, project status, completion dates, project descriptions including their role and responsibilities, and whether they served as prime or subcontractor. The form also requires contact information for the project owner or project manager.

This form is related to FAA solicitation 6973GH-25-R-00060 for pre-cast concrete mobile shelters. The FAA anticipates awarding a firm-fixed-price construction IDIQ contract. Proposals are due by January 24, 2025 at 5:00 PM CT via email to Jason.A.Fox@faa.gov. Questions must be submitted by January 10, 2025. Contractors must be registered in SAM.gov by the proposal due date. This solicitation replaces a previous one (6973GH-24-R-00036) and will be governed by the FAA's Acquisition Management System rather than the FAR.

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Text version

EXPERIENCE INFORMATION

(To be completed by Contractor)

1. Contractor Name

Address:

2. Contract /Task Order(TO) /Purchase Order (PO) Number:

3. Contract/TO/PO Dollar Value: $

Contract/TO/PO Dollar Value w/MOD’s: $

4. Contract/TO /PO Status: Active Complete

Completion Date (w/extensions):

Project Title: Location:

Project Description-- to include the role of the contractor on the project and specific responsibilities of the contractor in performance of the effort.

Did the contractor serve as the prime contractor or sub-contractor on this project?

Project Owner or Project Manager for the Client –provide:

Name:

Address:

Telephone Number and E-mail:

File details come from the government source that posted it. Updated .