About this file

This document is an Offeror Organizational Experience Form (Attachment #4) for a Federal Aviation Administration (FAA) solicitation (SIR: 6973GH-25-R-00138). The form provides a template for offerors to document their previous project experience, with space for three separate projects. Each project entry allows the company to record key details including company information, contract/task order numbers, project dollar value, project status (active or completed), project title and location, a detailed project description, and client contact information.

The associated solicitation is for replacing and repairing a parking lot and driveway at the St. Petersburg (PIE) Air Traffic Control Tower in Clearwater, Florida. It is a small business set-aside for a firm fixed-price contract, with proposals due by May 6, 2025 at 5:00 PM CDT. A mandatory site visit is scheduled for April 23, 2025 at 0900 local time, and all questions must be submitted in writing to Bryon.R.Nolan@faa.gov by April 30, 2025 at 1700 CDT. The award is anticipated to be made to the lowest-priced, responsive, and responsible offeror.

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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-00138

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-00138

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-00138

Attachment # 4

PROJECT #3

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

Joshua D Huckeby Highlight

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