Attch_07_-_Experience_Form.docx

DOCX document 17 KB Posted

Attached to
Sust/Rpr AHUs E Fairchild Hall Federal contract opportunity
Solicitation number
FA7000-18-R-0017
Issued by
Department of the Air Force Headquarters Air Force Academy

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Experience Form

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Text version

FA7000-18-R-0017

Attachment 07

EXPERIENCE FORM

Offeror’s Name: ________________________________________________________________________

Address: _________________________________________________________________________________

Offeror Point of Contact (POC) Name: ______________________________________________________

Offeror Telephone Number: _______________________________________________________________

Offeror Email:___________________________________________________________________________

Project Title: ________________________________________________________________________

Owner/Customer: ____________________________________________________________________

This project was performed by the named offeror as a (Circle one): Prime Contractor or Subcontractor

Place of Performance: _________________________________________________________________

Contract Number (of single project):______________________________________________________

Contract Value: ______________________________________________________________________

Contract Period or Dates of Performance: _________________________________________________ Project Description:___________________________________________________________________ Did the project include REPLACEMENT OF EXISTING Air Handling Unit(s) (Circle one): YES or NO Was the facility occupied during the project (Circle one): YES or NO Number of Air Handling Units (AHUs) Installed: _____________ Size of AHU(s) Installed (At least one AHU installed in the project was at least 25,000 CFM.), list all AHUs and respective CFM if more than one AHU was installed: _____________________ Circle types of construction work performed within this project: Asbestos Abatement, Controls Work, Electrical Work, HVAC Demolition, HVAC Test and Balancing, HVAC Ductwork Installation Contract Point of Contact to Verify Above Project Point of Contact: _____________________________________________________________________

Address: ____________________________________________________________________________

Telephone Number: ___________________________________________________________________

Email:_______________________________________________________________________________

***Only one Experience Form will be accepted***

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