Attch 7 - Experience Form.docx
DOCX document 28 KB Posted
- Attached to
- Repair HVAC Harmon Hall Arnold Hall Federal contract opportunity
- Solicitation number
- FA700020R0004
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 0001 SF 30.pdf | ||
| Solicitation Conformed Copy FA700020R00040001.pdf | ||
| Attch 05 HAZMAT Report.pdf | ||
| Attch 1 - SOW Rev 01.pdf | ||
| Attch 6 - WageDet23Jan20.pdf | ||
| Attch 1- SOW Rev_1.pdf | ||
| Attch 08REVISED Fncl Reference.doc | DOC document | |
| Attch 06REVISED WageDet 10Jan20.pdf | ||
| Attch 07REVISED Experience Form.docx | DOCX document | |
| Attch 3 - XQPZ160146 Specifications.pdf | ||
| Attch 6 - Wage Determination.pdf | ||
| Attch 2 - XQPZ160146 Drawings.pdf | ||
| Solicitation - FA700020R0004.pdf | ||
| Attch 5 - XQPZ160146 HAZMAT Report.pdf | ||
| Attch 4 - USAFA Enviro Stnds 2019.pdf | ||
| Attch 9 - XQPZ160146 Siemens JA [Redacted].pdf | ||
| Attch 8 - Financial Reference.doc | DOC document | |
| Attch 1 - XQPZ160146 SOW Rev0.docx | DOCX document |
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Text version
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:
Offerors shall provide verifiable details on three (3) recent projects for similar work, defined as follows:
Recent: all work completed and final payment made within five (5) years of this solicitation’s closing date;
Similar work: an HVAC installation/repair/replacement project in which at least 300 tons of chiller capacity were installed AND at least one chiller had a capacity of at least 100 tons.
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. If an order against an IDIQ contract, a BPA, or other contract vehicle is used as Experience, provide BOTH the base contract number and the task order number.
PROJECT 1:
| Project Title: | Requiring Organization: | ||
| Place of Performance: | Contract Number: | Contract Value: |
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? ___________ If yes, capacity of temporary chiller: _________________ 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:
| Project Title: | Requiring Organization: | ||||
| Place of Performance: | Contract Number: | Contract Value: | 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? ___________ If yes, capacity of temporary chiller: _________________ 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:
PROJECT 3:
| Project Title: | Requiring Organization: | ||||
| Place of Performance: | Contract Number: | Contract Value: | 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? ___________ If yes, capacity of temporary chiller: _________________ 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 3 Information POC Name:
Telephone Number: Email:
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