Attachment_5_-_Past_Performance_References_(APP_A).pdf

PDF 14 KB Posted

Attached to
Construct Variable Height Tower Federal contract opportunity
Solicitation number
FA2823-14-R-6024
Issued by
Department of the Air Force Materiel Command Test Center

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Attachment 5 - App A

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Amendment_02.pdf PDF
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Table_of_Contens.pdf PDF
Div_14 _Sec_14_24_00.pdf PDF
FA2823-14-R-6024-0001.pdf PDF
Attachment_4_-_Contract_Bonds_Checklist.pdf PDF
Attachment_2_-_Specifications_-_11_July_2014.pdf PDF
Attachment_11_-_Site_Visit_Driving_Directions.pdf PDF
Attachment_3_-_Drawings_-_11_July_2014.pdf PDF
Attachment_10-_Base_Access_Memorandum_Template.pdf PDF
Attachment_7_-_Financial_Responsibility_Questionnaire_(APP_C).pdf PDF
Attachment_8_-_Wage_Determination.pdf PDF
Attachment_1_-_SOW_-_24_July_2014.pdf PDF
SF_1442_-_FA2823-14-R-6024.pdf PDF
Attachment_6_-_Past_Performance_Questionnaire_(APP_B).pdf PDF
Attachment_9_-_CAB_Affidavit.pdf PDF
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APPENDIX A

PAST PERFORMANCE PROJECT INFORMATION

Request for Proposal: FA2823-14-R-6024 Construct Variable Height Tower, FTFA 13-3005, 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 FA2823-14-R-6024, to Construct Variable Height Tower, site C-86 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 ____ Key Personnel

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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