Attachment_4_-_Reference_List_0001.pdf

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Attached to
Devil's Elbow and Clark's Bay Well Improvements Federal contract opportunity
Solicitation number
140L3624Q0016
Issued by
Department of the Interior Bureau of Land Management

About this file

This solicitation seeks quotations for construction services related to water well improvements on federal lands in Montana. The Bureau of Land Management requires drilling one new water well, replacing water lines, installing new pumps and controls, and abandoning two existing wells at Clark's Bay Day User Area. Offerors must visit the site by March 12th and submit fixed-price quotations by March 27th. A single award will be made to the lowest-priced responsive offeror using simplified acquisition procedures. The estimated value is between $100,000 and $250,000, and the North American Industry Classification System code is 237110. The awardee must begin work within 10 days of notice to proceed and complete all well drilling within 45 days, with additional time allowed for optional work. Electronic invoices must be submitted through the Invoice Processing Platform.

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Text version

Solicitation No: 140L3623Q0016 PROJECT DESCRIPTION: Devil's Elbow and Clark's Bay Well Improvement

REFERENCE LIST

The contractor shall furnish a list (no more than five) of Federal, State, local government or commercial projects similar in scope, complexity, and magnitude to the work required under this solicitation that the contractor has completed within the last five years. These projects must clearly demonstrate the contractor’s successful ability to accomplish projects in a timely and satisfactory manner. If an offeror intends to utilize subcontractors to perform any of the major components of work, all the requested information must be provided for each proposed subcontractor.

CONTRACTOR NAME: _____________________________________________________________________

Submitting Proposal as (select one) Prime Contractor Subcontractor

If submitting as Subcontractor, your prime contractor is

1. Name and Location of Project: ________________________________________________________________________________________

Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________

Subcontractor(s): _____________________________________________________________________________

Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______

Original Completion Date: _____________________ Actual Completion Date: ______________________

Initial Contract Amount: _______________________ Final Contract Amount: _______________________

Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

2. Name and Location of Project: ________________________________________________________________________________________

Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________

Subcontractor(s): _____________________________________________________________________________

Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______

Original Completion Date: _____________________ Actual Completion Date: ______________________

Initial Contract Amount: _______________________ Final Contract Amount: _______________________

Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

Solicitation No: 140L3623R0006 PROJECT DESCRIPTION: McNamara/Johnsrud Roads, Chip Sealing and Site Improvements (GAOA)

3. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________ Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________ Problems Encountered and Corrective Actions Taken: ________________________________________________

4. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________ Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________ Problems Encountered and Corrective Actions Taken: ________________________________________________

5. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________ Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________ Problems Encountered and Corrective Actions Taken: ________________________________________________

REFERENCE LIST
CONTRACTOR NAME: _____________________________________________________________________
Prime Contractor

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