Attach_F_-_PPI.docx

ATTACHMENT F

PAST PERFORMANCE PROJECT INFORMATION

Request for Proposal: FA282317R4029 FTFA 081140 Range Road 212 Replace Watering Creek Bridge Eglin AFB, FL

Name of Offeror: ___________________________________

Point of Contact: ____________________________________

Telephone #:_______________________________________

E-Mail:____________________________________________

We are currently in the process of preparing our proposal for Solicitation Number FA282317R4029 FTFA 081140 Range Road 212 Replace Watering Creek Bridge Eglin AFB, FL. 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 bridge/road work similar in size and scope to those found in this effort and how recently:

ii: Prior experience with bridge/road work similar in size and scope to those found in this effort how well the progress met proposed and approved construction schedule:

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. 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: __________________