FORM_A.docx

FORM A: OFFEROR'S BACKGROUND TECHNICAL QUALIFICATION DATA

1. FIRM NAME:

FIRM ADDRESS:

FIRM (MAIN) TELEPHONE NUMBER: DATE:

AUTHORIZED OFFICIAL: TITLE:

OFFICIAL TELEPHONE NUMBERS: (with any extension number as applicable)

Land Line Mobile

E-MAIL:

2. Provide a short narrative describing the firm's location and facilities.

3. Describe your firm's project management skills which are relevant to this project.

MINIMUM REQUIREMENT: Must have at least one (1) individual assigned to the proposed project who has a minimum of five (5) years of project management experience and has successfully managed a minimum of two projects of similar scope and complexity as the work covered by this solicitation involving historic buildings. (Historic building is defined as a structure either listed on the National Register of Historic Places or eligible for listing on the National Register.) Provide his/her name with a list of three (3) projects for which he/she performed the project management, including the historic projects. For each project provide the project name, address, date, and the name and telephone number of the client contact most familiar with your project manager's performance on the project. In addition, provide a minimum of three (3) and a maximum of five (5) photos clearly illustrating the work completed for each project submitted.

FORM A: OFFEROR'S BACKGROUND

4. Describe in your own words how you will proceed through the contract requirements to complete the project.

MINIMUM REQUREMENT: Must have a plan that addresses the project schedule. In addition, the proposed procedures must be able to be accomplished without damaging surrounding materials.

FORM A - GOVERNMENT REVIEW

(OFFEROR / CONTRACTOR - DO NOT WRITE IN THIS SPACE)

Bldg.____________________________ Project____________________________ Review No._____________ Facilities: ___Adequate ___Not adequate Submit:______________________________________________ Project Mgmt: ___Adequate ___Not adequate Submit:__________________________________________ Proposed Approach: ___Approved _____Not approved because_____________________________________