00 22 16-Attachment 1_Phase-1_3-31-2021.docx

SECTION 00 22 16 - ATTACHMENT 1

OFFEROR’S RELEVANT EXPERIENCE FORM

Factor 1, Design and Construction Experience

PLEASE USE THIS FORM. USE ONE FORM PER PROJECT

Note: A separate Word version of this document will be accessible on beta.SAM.gov

Provide the following information to demonstrate your project submittals meet the requirements set forth in Factor 1, Design and Construction Experience:

a) Name of Offeror:

Offeror’s role in example project? (check all that apply)

___Prime/JV Contractor ____Subcontractor ____D-B Designer of Record

Other (explain)

Type of Construction Project: ___Bid-Build ____Design-Build ___Other (explain):

___UMMC ___Small MILCON ___FSRM ___Other (explain):

Key Design Firm(s)/Professional(s) if D-B construction:

b) Title of Example Project:

c) Location (include installation/base/facility, city, state, country):

d) Contract number, task order number, or unique customer identifier:

e) Contract (stand-alone contract or single task order) value at award ($):

f) Construction Completion Date (beneficial occupancy, construction complete and accepted by customer):

g) Customer POC (name, address, telephone number, and email address of a representative of the customer or an alternate individual not affiliated with your firm and familiar with your firm’s experience on the project example that can verify the experience cited):

h) Specialized Experience:

Which of the seven types of facilities was used and, if necessary, explain rationale for designation):

Describe the general scope of this project:

i) Depth of Experience:

Percentage of work the Offeror self-performed (total dollar value as percent of contract award)?

Describe the design and construction activities the Offeror performed:

Describe the design and construction activities the Offeror managed:

Describe the Offeror and its design team’s experience in delivery of this project:

Describe Offeror and design team experience applying USACE design and D-B criteria in the Whole Building.

Design Guide (https://www.wbdg.org) for this project:

Describe Offeror experience with USACE Resident Management System (RMS) requirements for schedule, submittal preparation and approval (DOR versus Government), and safety during construction for this project:

j) Complexity of Experience:

Describe factors contributing to the complexity of this project (specifically the three issues identified, as well as addition considerations).

Describe ability of the Offeror to adapt to changing site conditions to successfully execute this project

Describe experience of the Offeror in this project’s execution involving multiple contractors on adjacent work sites:

Describe experience of the Offeror in managing this project’s execution as it relates to project-specific site restrictions or security constraints:

k) Please provide any other information that demonstrates relevant experience under Factor 1:

l) Project Photographs or Other Images (optional): Limit to no more than two on a single page (excluded from text page limit).