Attachment_V-A21-Project_Experience_Questionnaire_0001.pdf
PDF 76 KB Posted
- Attached to
- PAVEMENT MAINTENANCE NCTC Federal contract opportunity
- Solicitation number
- 140F0421R0025
About this file
This document is a project experience questionnaire for federal contractors to submit with their response to Solicitation Number 140F0421R0025 for pavement maintenance services at the National Conservation Training Center issued by the Department of the Interior Fish and Wildlife Service. Offerors must complete the form to provide details on up to five prior individual projects, including descriptions, contract amounts, owners and points of contact, original and final dates, whether the offeror was prime or subcontractor, any contract modifications or time extensions and reasons, and any disputes or defaults. The solicitation seeks pavement maintenance services at the National Conservation Training Center for the Department of the Interior Fish and Wildlife Service, with responses due by the date listed on the solicitation and work to be awarded shortly thereafter.
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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.
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