0017 12445123R0034 CONTACTOR REFERENCES FILLABLE.pdf
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- Solicitation number
- 12445123R0034
- Issued by
-
Department of Agriculture Forest Service
About this file
This document includes a federal contract opportunity solicitation and related contractor references form. The solicitation is for trail improvements to the Catawba Falls Trail located in the Pisgah National Forest in North Carolina. Work includes rerouting steep and hazardous sections of trail, constructing boardwalks and stairs, resurfacing over 5,000 linear feet of existing trail, and building retaining walls and viewing platforms. Contractors must have experience with construction in remote locations that involve traversing streams, slopes, and mountainsides. The total value is between $5-10 million. The NAICS code is 237310 and PSC is Z2PA. Proposals are due by July 18, 2023. The contractor references form collects past performance information on up to five prior contracts and is to be included with proposals.
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Solicitation No: 12445123R0034 Project Name: Catawba Falls Trail Phase 1 C
FAC 2023-04 dated June 2, 2023
Attachment 0014: CONTACTOR REFERENCES
1.1 Contractor’s Name
1.2 Agency/Client Name
1.3 Agency/Client Address
1.4 Agency/Client Phone
1.5 Agency/Client Program Manager
Name and Contact Information (phone and e-mail)
Name:
Phone:
1.6 Program Name
1.7 Type of Contract
1.8 Contract Number
1.9 Period of Performance
1.10 Contract Status – Active or Complete
1.11 Is evaluation based on contractor performance as a prime or as a subcontractor?
1.12 Program Description – please describe the system, include the benefits, and rate the complexity of the system
1.1 Contractor’s Name
1.2 Agency/Client Name
1.3 Agency/Client Address
1.4 Agency/Client Phone
1.5 Agency/Client Program Manager
Name and Contact Information (phone and e-mail)
Name:
Phone:
1.6 Program Name
1.7 Type of Contract
1.8 Contract Number
1.9 Period of Performance
1.10 Contract Status – Active or Complete
1.11 Is evaluation based on contractor performance as a prime or as a subcontractor?
1.12 Program Description – please describe the system, include the benefits, and rate the complexity of the system
1.1 Contractor’s Name
1.2 Agency/Client Name
1.3 Agency/Client Address
1.4 Agency/Client Phone
1.5 Agency/Client Program Manager
Name and Contact Information (phone and e-mail)
Name:
Phone:
1.6 Program Name
1.7 Type of Contract
1.8 Contract Number
1.9 Period of Performance
1.10 Contract Status – Active or Complete
1.11 Is evaluation based on contractor performance as a prime or as a subcontractor?
1.12 Program Description – please describe the system, include the benefits, and rate the complexity of the system
1.1 Contractor’s Name
1.2 Agency/Client Name
1.3 Agency/Client Address
1.4 Agency/Client Phone
1.5 Agency/Client Program Manager
Name and Contact Information (phone and e-mail)
Name:
Phone:
1.6 Program Name
1.7 Type of Contract
1.8 Contract Number
1.9 Period of Performance
1.10 Contract Status – Active or Complete
1.11 Is evaluation based on contractor performance as a prime or as a subcontractor?
1.12 Program Description – please describe the system, include the benefits, and rate the complexity of the system
Solicitation No: 12445123R0034
1.1 Contractor’s Name
1.2 Agency/Client Name
1.3 Agency/Client Address
1.4 Agency/Client Phone
1.5 Agency/Client Program Manager
Name and Contact Information (phone and e-mail)
Name:
Phone:
1.6 Program Name
1.7 Type of Contract
1.8 Contract Number
1.9 Period of Performance
1.10 Contract Status – Active or Complete
1.11 Is evaluation based on contractor performance as a prime or as a subcontractor?
1.12 Program Description – please describe the system, include the benefits, and rate the complexity of the system
Solicitation No: 12445123R0034
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| 11 Contractors Name: |
| 12 AgencyClient Name: |
| 13 AgencyClient Address: |
| 14 AgencyClient Phone: |
| Name Phone Email16 Program Name: |
| Name Phone Email17 Type of Contract: |
| Name Phone Email18 Contract Number: |
| Name Phone Email19 Period of Performance: |
| Name Phone Email110 Contract Status Active or Complete: |
| Name Phone Email111 Is evaluation based on contractor performance as a prime or as a subcontractor: |
| Name Phone Email112 Program Description please describe the system include the benefits and rate the complexity of the system: |
| 11 Contractors Name_2: |
| 12 AgencyClient Name_2: |
| 13 AgencyClient Address_2: |
| 14 AgencyClient Phone_2: |
| Name Phone Email16 Program Name_2: |
| Name Phone Email17 Type of Contract_2: |
| Name Phone Email18 Contract Number_2: |
| Name Phone Email19 Period of Performance_2: |
| Name Phone Email110 Contract Status Active or Complete_2: |
| Name Phone Email111 Is evaluation based on contractor performance as a prime or as a subcontractor_2: |
| Name Phone Email112 Program Description please describe the system include the benefits and rate the complexity of the system_2: |
| 11 Contractors Name_3: |
| 12 AgencyClient Name_3: |
| 13 AgencyClient Address_3: |
| 14 AgencyClient Phone_3: |
| Name Phone Email16 Program Name_3: |
| Name Phone Email17 Type of Contract_3: |
| Name Phone Email18 Contract Number_3: |
| Name Phone Email19 Period of Performance_3: |
| Name Phone Email110 Contract Status Active or Complete_3: |
| Name Phone Email111 Is evaluation based on contractor performance as a prime or as a subcontractor_3: |
| Name Phone Email112 Program Description please describe the system include the benefits and rate the complexity of the system_3: |
| 11 Contractors Name_4: |
| 12 AgencyClient Name_4: |
| 13 AgencyClient Address_4: |
| 14 AgencyClient Phone_4: |
| Name Phone Email16 Program Name_4: |
| Name Phone Email17 Type of Contract_4: |
| Name Phone Email18 Contract Number_4: |
| Name Phone Email19 Period of Performance_4: |
| Name Phone Email110 Contract Status Active or Complete_4: |
| Name Phone Email111 Is evaluation based on contractor performance as a prime or as a subcontractor_4: |
| Name Phone Email112 Program Description please describe the system include the benefits and rate the complexity of the system_4: |
| 11 Contractors Name_5: |
| 12 AgencyClient Name_5: |
| 13 AgencyClient Address_5: |
| 14 AgencyClient Phone_5: |
| Name Phone Email16 Program Name_5: |
| Name Phone Email17 Type of Contract_5: |
| Name Phone Email18 Contract Number_5: |
| Name Phone Email19 Period of Performance_5: |
| Name Phone Email110 Contract Status Active or Complete_5: |
| Name Phone Email111 Is evaluation based on contractor performance as a prime or as a subcontractor_5: |
| Name Phone Email112 Program Description please describe the system include the benefits and rate the complexity of the system_5: |
| Text2: |
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File details come from the government source that posted it. Updated .