Experience Information Form.doc
DOC document 62 KB Posted
- Solicitation number
- 6973GH-25-R-00081
About this file
This is an Experience Information Form template requiring contractors to provide details about their past performance on relevant contracts. The form requests basic contractor information including company name and address, along with specific contract details such as contract/task order numbers, dollar values including modifications, project status, completion dates, and project descriptions. Contractors must indicate whether they served as prime or subcontractor and provide contact information for the project owner or manager.
This form is associated with an FAA small business set-aside solicitation (6973GH-25-R-00081) for replacing a centralized heating boiler plant at an FAA housing complex in Nome, AK. The firm-fixed-price construction contract requires proposals by February 21, 2025 at 5:00 PM CT, with questions due by February 13, 2025. Contractors must be SAM-registered and submit proposals via email to Jason Fox (Jason.A.Fox@faa.gov). The project follows FAA's Acquisition Management System (AMS) rather than FAR regulations.
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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 .