S02_Past_Performance_Sheet_for_Contractors.docx
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- 36C24118R0279
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S02 Past Performance Sheet for Contractors
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Construct Clinical Services Bldg. Minor project #608-314
FIRM: ____________________________________________________________________________________________
CONTRACT NO: ___________________ PROJECT NO: ________________________ NAICS: ___________________
PROJECT TITLE: __________________________________________________________________________________
LOCATION: ______________________________________________________________________________________
CONTRACTING OFFICER/POC: _____________________________________________________________________
PHONE NO: ___________________________ E-MAIL ADDRESS: ___________________________________
OWNER’S PROJECT MANAGER/POC:________________________________________________________________
PHONE NO: ___________________________ E-MAIL ADDRESS: ___________________________________
TYPE OF CONTRACT (Negotiated, Design/Build):________________________________________________________
AWARD AMOUNT: $__________________________ FINAL AMOUNT: $___________________________________
AWARD DATE: ___________________________________________________________________________________
NOTICE TO PROCEED DATE: _______________________________________________________________________
ORIGINAL SCHEDULED COMPLETION DATE:________________________________________________________
ACTUAL COMPLETION DATE: _____________________________________________________________________
NUMBER OF CHANGE ORDERS AND REASON FOR CHANGES:
OSHA CITATIONS (If Applicable ):____________________________________________________________________
LIST ALL MAJOR SUBCONTRACTORS (W/POC & Phone Numbers):
DESCRIPTION OF PROJECT – ADDRESS PROJECT SCOPE OF WORK AND EXPLAIN HOW THE PROJECT INVOLVED WORK AS A PRIME CONTRACT WAS TECHNICALLY SIMILAR TO THE PROJECT DESCRIBED WITHIN THIS NOTICE. (May be continued on a blank page, if necessary):
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