Attachment 2 - Construction and Design Experience Project Data Sheet_0001.docx
DOCX document 19 KB Posted
- Solicitation number
- 140A1621R0004
About this file
This document contains a template for contractors to provide construction and design experience project details to support responses for the Bureau of Indian Affairs (BIA) Western Region Construction Multiple Award Task Order Contract (MATOC) solicitation. The template requests information such as the contractor name and contact information, whether the contractor served as the prime or subcontractor on previous projects, contract details including number, type, title, location, award and completion dates, original and final prices, and an explanation of differences. Contractors are asked to describe the complexity of previous work and relevance to the BIA Western Region MATOC solicitation. The solicitation seeks multiple contractors to perform construction services for the Bureau of Indian Affairs in the Western United States, as task orders are awarded on an as-needed basis.
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Text version
Solicitation no. 140A1621RXXXX, Construction Multiple Award Task Order Contract Section J, Attachment 2
Attachment 2 Construction & Design Experience Project Data Sheet
CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
| 1. Contractor Information | |
| Firm Name: | CAGE Code: |
| Address: | DUNs Number: |
Phone Number:
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
4. Project Description:
Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)
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