S06 EXHIBIT A Project Information Sheet for Contractors Amended.pdf

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Attached to
Y1NB--650-19-100 Replace Boilers in Bldg 10
Solicitation number
36C24122R0084
Issued by

About this file

This exhibit provides a template for contractors to submit project information for Factor 1 of the solicitation. The template requests details on contracts being described including company name, contract number, project number coded under NAICS, title and location of the project, points of contact for contracting officer, owner's project manager, type of contract, award and final amounts, award and completion dates, number and reasons for change orders, and list of major subcontractors with contact information.

The related federal contract opportunity is solicitation number 36C24122R0084 to replace boilers in Building 10 for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. Contractors are to respond to the attached RFP by the solicitation response date. The opportunity is for heating system renovation services at a VA medical center, with responses due on the date specified in the solicitation.

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Text version

EXHIBIT A: PROJECT INFORMATION SHEET FOR CONTRACTORS

AMENDED

Provide the following information requested in this format for each of the projects/contracts being described in Factor 1.

OFFEROR (YOUR) NAME (COMPANY/DIVISION):

CONTRACT NO:

PROJECT NO:

NAICS:

PROJECT TITLE/DESCRIPTION:

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):

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