Attachment_V_-A21-Project_Experience_Questionnaire_0001.pdf
PDF 76 KB Posted
- Attached to
- REPLACE DOMESTIC WATER HEATERS Federal contract opportunity
- Solicitation number
- 140F0421R0024
About this file
This document contains a project experience questionnaire for federal contractors to submit with their response to solicitation number 140F0421R0024 from the Department of the Interior Fish and Wildlife Service to replace domestic water heaters. The questionnaire requests contact information for the firm and up to five prior individual projects describing the contract number, location, original and final contract amounts, owner agency contacts, original and completion dates, whether there were modifications or time extensions and reasons, and whether any disputes or defaults occurred and reasons. Firms must complete this form for evaluation purposes in responding to the solicitation to replace domestic water heaters before the response date.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_VI-Amendment_RFI_0002.pdf | ||
| Sol_140F0421R0024_Amd_0002.pdf | ||
| Attachment_I-B08-Solicitation_140F0421R0024_Lodge_Hotwater_0001.pdf | ||
| Attachment_IV_-B03-DOL_Wage_DeterminationNCTC_0001.pdf | ||
| Attachment_III-B12-Bid_Schedule_0001.pdf | ||
| Attachment_II-A06-Drawings-Specificationsrevised_0001.pdf | ||
| Sol_140F0421R0024.pdf |
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Text version
RFQ NO. PROJECT EXPERIENCE QUESTIONNAIRE Attachment I (Offerors must complete this form for evaluation purposes)
NAME OF FIRM POINT OF CONTACT
TELEPHONE NO. EMAIL ADDRESS OR FAX
NO.
PRIOR PROJECT EXPERIENCE
(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)
PROJECT DESCRIPTION
(USE BLANK PAGE IF NECESSARY) CONTRACT/PROJECT
NO.
LOCATION
CONTRACT AMOUNT (ROUND
TO NEAREST DOLLAR)
ORIGINAL FINAL
1. $ $
2. $ $
3. $ $
NAME OF OWNER/AGENCY POINT OF CONTACT TELEPHONE NO. FACSIMILE NO.
1.
2.
3.
ORIGINAL PROJECT DATES WERE YOU A PRIME
CONTRACTOR OR
SUBCONTRACTOR?
WERE THERE
CONTRACT
MODIFICATIONS?
(YES/NO)
HOW
MANY?
WHO INITIATED
THEM? CLIENT OR
CONTRACTOR? START COMPLETION
1.
2.
3.
WERE THERE ANY
TIME EXTENSIONS?
(YES/NO)
IF SO, INDICATE
TOTAL EXTENDED
DAYS?
WAS THE
SCHEDULE
MET?
(YES/NO)
IF NOT, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
HAVE YOU EVER
ENTERED A
DISPUTE? (YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
HAVE YOU EVER
BEEN DEFAULTED?
(YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
File details come from the government source that posted it. Updated .