Tab 16 SIR Attach 4 Offeror Organizational Experience Form.pdf

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Attached to
SIR: Infrastructure Investment and Jobs Act (IIJA) for the ROOF REPLACEMENT PROJECT, McGHEE TYSON AIRPORT ATCT, LOUISVILLE, TN 37777.
Solicitation number
6973GH-24-R-00262
Issued by

About this file

This file is Attachment 4 (Offeror Experience Information Form) for Solicitation 6973GH-24-R-00262, which contains three identical templates for offerors to document their relevant past performance experience. The form requires detailed information about up to three previous projects, including company information, contract/task order numbers, dollar values, project status (active or completed with dates), project descriptions, and client contact information.

The form is part of a solicitation for a roof replacement project at McGhee Tyson Airport Air Traffic Control Tower in Louisville, TN. Offerors must complete these forms in accordance with Sections L and M of the solicitation document, which specify minimum project value and recency criteria for acceptable past performance references. Each project template includes fields for documenting the offeror's specific role and responsibilities in performing previous work, allowing evaluators to assess relevant experience.

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1. Offeror Information Company Name: ______________________________ Address: _____________________________________ City:________________________________________ State: _______________________________________ POC Name:__________________________________ Phone:______________________________________ Email:_______________________________________

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

3. Contract/TO/PO/Comm Award 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-24-R-00262

Attachment # 4

PROJECT #1

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Company Name: _______________________________ Address: _____________________________________ City:_________________________________________ State: ________________________________________ POC Name:___________________________________ Phone:_______________________________________ Email:________________________________________

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

3. Contract/TO/PO/Comm Award 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)

PROJECT #2

SIR: 6973GH-24-R-00262

Attachment # 4

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Company Name: _______________________________ Address: _____________________________________ City:_________________________________________ State: ________________________________________ POC Name:___________________________________ Phone:_______________________________________ Email:________________________________________

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

3. Contract/TO/PO/Comm Award 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-24-R-00262

Attachment # 4

PROJECT #3

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

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