Attch 07REVISED Experience Form.docx

FA7000-20-R-0004

EXPERIENCE FORM

FA7000-20-R-0004

Repair HVAC – Harmon and Arnold Halls

OFFEROR INFORMATION:

Company Name: Point of Contact Name/Title: Telephone Number: Email:

INSTRUCTIONS:

The prime offeror must submit verifiable information for two (2) recent completed projects (e.g. task orders, purchase orders, contracts, etc.) performed by the offeror as either a prime contractor or subcontractor for similar work. The first two projects on the Experience form will be evaluated. Any additional projects submitted will not be evaluated. Fill in all blanks in the space provided in typewritten text no smaller than 12-point font. Alternate formats will not be considered, including descriptions that extend beyond the space provided. Each submitted project must include:

a. Work must have been completed within five (5) years of this solicitation's closing date;

b. HVAC installation/repair/replacement work in which at least 300 tons of total aggregate chiller capacity were installed;

c. At least one installed chiller had a capacity of at least 100 tons.

For Example - a project in which FOUR 50-ton chillers and ONE 100-ton chillers were installed (50+50+50+50+100=300) would meet the minimum capacity requirements above. Also, a project in which ONE 300-ton chiller was installed would meet the minimum capacity requirements above. However, a project in which EIGHT 75-ton chillers were installed would NOT meet the minimum capacity requirements above (because none of the chillers met the 100-ton requirement of part c, above).

d. Completion of all of the incidental construction work: System Controls Work, Electrical Work, HVAC Demolition, HVAC Test and Balancing, HVAC Ductwork Installation.

e. In at least one of the submitted Experience projects, offeror will demonstrate installation and utilization of a temporary chiller unit.

PROJECT 1:

Contract Period or Dates of Performance:

This project was performed by the named offeror as (circle one): Prime Contractor -OR- Subcontractor Number of chillers installed: _________________ Aggregate Chiller Capacity: ______________________________ Was at least one temporary chiller utilized? ___________ In the space provided below, briefly describe the work completed. Include any unusual conditions or unique challenges and how your company addressed them:

Client/Customer to Verify Project 1 Information POC Name:

Telephone Number: Email:

PROJECT 2:

Was at least one temporary chiller utilized? ___________ In the space provided below, briefly describe the work completed. Include any unusual conditions or unique challenges and how your company addressed them:

Client/Customer to Verify Project 2 Information POC Name:

Telephone Number: Email: