3-09 - COM JOC Section J Exhibit B Recent Relevant Experience.docx
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- Solicitation number
- N6247321R3430
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EXHIBIT “B”
FACTOR 1 – RECENT, RELEVANT EXPERIENCE OF FIRM
PROJECT DATA SHEET
This form is to be completed by the Offeror. Submit (one per project) in order to provide supporting project information for Factor 1, Recent, Relevant Experience of firm. Only projects that are within the project description parameters of the solicitation will be considered relevant. Submit five (5) projects. All other projects will not be considered.
Project No. (check one): |_| - 1 |_| - 2 |_| - 3 |_| - 4 |_| - 5
Contractor:
| 1. |
| Offeror Name: |
| Firm who performed the work: |
| Performed this work as: | ||
| |_| Prime Contractor | |_| Subcontractor | |_| Joint Venture |
| |_| Other (explain): |
| If subcontractor, name of prime: |
| Phone #: |
| If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror: |
| |_| Joint Venture Partner |_| Partner |
|_| Subcontractor |_| Parent Company |_| Subsidiary |_| Satellite Office |_| Predecessor Company |_| Other:
Explain how this firm will have meaningful involvement in the performance of the contract:
Construction Contract:
| 2. |
| Contract/Project No.: |
| Delivery/Task Order Number: |
| Title: |
| Location: |
| 3. |
| Award Date (mm/dd/yy): |
| Award Amount: $ |
| Completion Date (mm/dd/yy): |
| Final Price: $ |
This is the: |_| total project |_| subcontract price
| 4. |
| Type of Contract: |
| |_| Design-Build. If D-B, design firm was: |
| (check one) |
| |_| Design-Bid-Build |
Customer:
| 5. |
| Name: |
| Point of Contact Name/Title: |
| POC Phone Number: |
| POC Email Address: |
Project Description:
6. Type of Work (check all that apply): |_| New Construction |_| Renovation |_| Repair
7. Provide a detailed description of the project and the relevancy to the project requirements of this RFP:
8. If project is design-build, provide a detailed description of the design effort:
9. Provide a detailed description of the work your firm self-performed on this project.
Note: Form may be expanded.
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