Attach_7_APPENDIX_A.pdf
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- Attached to
- Paving IDIQ Federal contract opportunity
- Solicitation number
- FA2823-14-R-4019
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Appendix A
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APPENDIX A
PAST PERFORMANCE PROJECT INFORMATION
Request for Proposal: FA2823-14-R-4019 Paving Indefinite Delivery Indefinite Quantity (IDIQ), FTFA 14-1091, Eglin AFB, FL 32542
Name of Contractor:
Point of Contact:
Telephone #:
E-Mail:
We are currently in the process of preparing our proposal for Solicitation Number FA2823-13-R-4019, to create an Indefinite Delivery Indefinite Quantity for Paving at Eglin AFB, Florida. As part of our proposal, we have offered as a reference on our performance for this type of work, under the previous/current contract listed below, with your company. Your input on our performance is therefore requested. Please complete this survey and provide a sufficient description so this contract may be evaluated whether it is the same or similar in scope to this solicitation.
Please return to the Point of Contact listed above. Thank you. Survey is due no later than
1. Contract or Identifying Number:
2. Brief description of scope of work:
3. Period of Performance (Base) Amount $
Period of Performance (1st Option) Amount $
Period of Performance (2nd Option) Amount $
Period of Performance (3rd Option) Amount $
Period of Performance (4th Option) Amount $
TOTAL: $
4. Contractor performed as the ____ Prime Contractor ____ Sub-Contractor
5. Type of Contract ____ Firm-Fixed-Price ____ Cost Reimbursement ____ Other (please specify)
6. Name of Person Completing Survey:
Base/Company: Date:
Title: Phone:
Email: Fax:
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