About this file

The document is an Offeror Organizational Experience Form for a federal solicitation (SIR: 6973GH-25-R-00128) related to the Federal Aviation Administration's (FAA) project to replace mechanical room flooring at the Guam Combined Center Radar Approach facility. The form is designed for potential offerors to document their prior project experience, with spaces to detail two separate projects, including contract information, project status, project description, and client contact details.

The associated solicitation is a 100% small business set-aside for a firm fixed-price contract, with a proposal due date of May 6, 2025, at 1700 CDT. The project involves replacing flooring at the FAA facility in Barrigada, Guam, with an anticipated award to the lowest-priced, responsive, and responsible offeror. A site visit is scheduled for April 22, 2025, and all questions must be submitted via email to Bryon.R.Nolan@faa.gov by April 29, 2025. The solicitation emphasizes that any proposal taking exception to terms or indicating non-inclusive pricing will be deemed ineligible for contract award.

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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-25-R-00128

Attachment # 4 PROJECT

#1

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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)

PROJECT #2

SIR: 6973GH-25-R-00128

Attachment # 4

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

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