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Attachment # 4 is an Offeror Organizational Experience Form for a federal solicitation related to the FAA Potomac Consolidated TRACON Flow Control Valve Replacement project. The form provides a template for offerors to document three past projects, with sections for company information, contract details, project status, project title and location, project description, and client contact information. Offerors are instructed to complete the form in accordance with Sections L and M of the solicitation document, which outline minimum project value and recency criteria. This form is part of the proposal submission requirements for the competitive small business set-aside solicitation (6973GH-25-R-00119) with a firm fixed-price contract structure.

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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-00119

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-00119

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-00119

Attachment # 4

PROJECT #3

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

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