10.4 Attachment 1_Prior Experience on Relevant Projects-Offeror Worksheet.pdf

Company Name of offer:

Date:

Signature of offeror:

ATTACHMENT 1

PRIOR EXPERIENCE ON RELEVANT PROJECTS - OFFEROR WORKSHEET

Project Title:

Location:

Name and location of the project:

A detailed description of the project:

Indicate if the project was performed under an IDIQ, blanket purchase agreement or other type of master contract:

Project start and completion dates:

Construction cost at award and the final construction cost at construction completion:

Describe your role in the project (i.e. prime or subcontractor):

Describe the amount and type of work you performed with in-house forces and the work that was accomplished by subcontractors:

located in West Virginia and select counties in Virginia for West Virginia and Western Virginia Government owned and leased facilities and Alteration Construction Services Contract with Design/Build Capabilities Region 3 Multiple Award Indefinite Quantity/Indefinite Delivery (IDIQ) Repair

Company Name of offer:

Date:

Signature of offeror:

Describe any problems encountered and the corrective actions taken:

Name, Phone number and email address of the client’s contact person, a primary contract and a secondary contact (at least one contact must be the owner):

If the team is proposing as a joint venture, the team will be required to discuss if the joint venture has experience working together in the past. If a team is proposing as a joint venture, the team will be required to provide a copy of the joint venture agreement.