ATTACHMENT_E_Past_Performance_Project_Information.docx

ATTACHMENT E

PAST PERFORMANCE PROJECT INFORMATION

Request for Proposal: FA2823-16-R-4007 Replace Approach Light Structures, Runway 18, Duke Field, FTFA 11-1098, Eglin AFB, FL 32542

Name of Offeror:

Point of Contact:

Telephone #:

E-Mail:

We are currently in the process of preparing our proposal for Solicitation Number FA2823-16-R-4007, to replace approach light structures at Runway 18, Duke Field, 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. Please provide a brief description of the work we performed for your contract that was same/similar to the below or say none:

i: Prior experience with repair or installation of runway electrical lighting systems and how recently: ___________________________________________________________________________________________________________________________________________________________________________________ ii: Prior experience with installation of frangible approach lighting structures and their foundations: _____________________________________________________________________________________________________________________________________________________________________________________ iii: Prior experience with Air Force runway approach lighting systems and how recently:

iv: Prior experience with Duke Field flight line work and how recently: __________________________________________________________________________________________________________________________________________________________________________________________ v: Prior experience with Air Force flight operations coordination, permitting, and flight line driving:

vi. Prior experience with land clearing and storm water diversion structures:

TOTAL: $

4. Offeror performed as the ____ Prime Offeror ____ 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: