About this file

This is an offeror experience form template to be completed by companies responding to solicitation number 6973GH-23-Q-00280 from the Department of Transportation Federal Aviation Administration Franchise Acquisition Services. The solicitation is for parking lot and driveway repair services at the Isla Grande Airport Air Traffic Control Tower in San Juan, Puerto Rico and requires offerors to provide details on relevant past project experience including contract numbers, values, dates, descriptions of work performed, and client references. The form collects information on at least one qualifying past project to evaluate offeror experience according to the criteria in sections L and M of the solicitation relating to minimum project values and recency.

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1. Offeror Information Company Name: __________________ Address: _______________________ City:_________________________ State: ________________________ POC Name:_____________________ Phone:_____________________________ Email:_______________________________

2. Contract /Task Order(TO) /Purchase Order (PO) Number:

3. Contract/TO/PO Dollar Value:

4. Project Status (Insert Date in Appropriate Status) ACTIVE (Est Completion Date ____________ ) COMPLETED (Completion Date_____________)

7. Project Description-- to include the role of the offeror on the project and specific responsibilities of the offeror in performance of the effort:

8. Project Owner or Project Manager for the Client – provide:

Government Entity or Name of Company:__________________________ Address:____________________________ Telephone Number:______________________________ E-mail:___________________________________

5. Project Title:

6. Project Location:

OFFEROR EXPERIENCE INFORMATION

To be completed by Offeror

(See Sections L and M of the SIR Document for Minimum Project Value and Recency Criteria)

SIR: 6973GH-23-Q-00280

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Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

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