Past Experience Form.pdf
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- Solicitation number
- 697DCK24R00452
About this file
This document is a Past Experience Form that requires the contractor to provide information about their relevant project experience. The form requests details on up to three past projects, including the project name, location, owner/client, general scope, the contractor's role (prime or subcontractor), percentage of completion, final contract amount, and whether they were terminated or assessed liquidated damages. The contractor must also provide contact information for a client point of contact for each project.
The related federal contract opportunity is a solicitation from the Department of Transportation Federal Aviation Administration Southwestern Region for the Cab Duct Heater Replacement (MDW ATCT) project in Chicago, IL. The estimated project value is under $150,000. A mandatory site visit is scheduled for 07/17/2024, and all questions are due by 07/18/2024. Proposals are due by 07/25/2024.
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Text version
Past Experience Form
Please provide all the requested information below. Please note that the references/POCs included in this form may or may not be contacted to verify information at the FAA’s discretion.
Project #1
Name of Project: ________________________________________________
Location of Project: _____________________________________________
Owner/Organization/Customer/Client:____________________
General Scope of Project:
Summary of Your Role in this Project: Prime Subcontractor
Percent Complete (must be at least 90%) _______________________________
Final Contract Amount (must be over $25,000)___________________
Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________
Client/Customer Point of Contact Name:__________________________________
Client/Customer POC Phone Number:____________________________________
Client/Customer POC Phone Email:____________________________________
Project #2 Name of Project: ________________________________________________
Location of Project: _____________________________________________
Owner/Organization/Customer/Client:____________________
General Scope of Project:
1__________________________________________________________________________________
Summary of Your Role in this Project: Prime Subcontractor
Percent Complete (must be at least 90%) _______________________________
Final Contract Amount (must be over $25,000)___________________
Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________
Client/Customer Point of Contact Name:__________________________________
Project #3 Name of Project: ________________________________________________
Location of Project: _____________________________________________
Owner/Organization/Customer/Client:____________________
General Scope of Project:
Summary of Your Role in this Project: Prime Subcontractor
Percent Complete (must be at least 90%) _______________________________
Final Contract Amount (must be over $25,000)___________________
Were You Terminated or Assessed Liquidated Damages? (if yes, explain) _________________________
Client/Customer Point of Contact Name:__________________________________
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