S02 EXHIBIT A FACTOR 1 INFORMATION SHEET.pdf
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- Solicitation number
- 36C24124R0065
About this file
This document is an Exhibit A: Factor 1 Information Sheet for a federal construction contract opportunity. It provides details on the contract, including the contract and project numbers, NAICS code, project title and location, contracting officer and owner's project manager contact information, contract type, square footage, award and final amounts, award and completion dates, change orders, OSHA citations, and a list of major subcontractors.
The document also includes a section for the offeror to provide similar past performance information, such as project scope, technical similarity to the current solicitation, specific elements of work performed, and relevant technical areas. The related federal contract opportunity is for the renovation and upgrade of an Angio OR Suite, with a solicitation number of 36C24124R0065, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1.
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EXHIBIT A: FACTOR 1 INFORMATION SHEET
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):________________________________________________________
SQUARE FOOTAGE OF EXPANSION SPACE: ________________
SQUARE FOOTAGE OF RENOVATION SPACE: ______________
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):
Provide the following information requested in this format for each of the projects/contracts being described. Projects may be on going and cannot have been competed any later than Five (5) years prior to the solicitation issue date.
OFFEROR: ____________________________________________________________________
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: ____________________________
ARCHITECT/ENGINEER/POC____________________________________________________
PHONE NO: ___________________ E-MAIL ADDRESS: _________________________
TYPE OF CONTRACT (Negotiated, Design/Build, Design/Bid/Build) _______________________________________
SQUARE FOOTAGE: _______ FOUNDATION TYPE:________
AWARD AMOUNT: $___________________ FINAL AMOUNT: $_______________________
ORIGINAL SCHEDULED COMPLETION DATE:________________________________________________________
ACTUAL COMPLETION DATE: _____________________________________________________________________
OSHA CITATIONS (If Applicable ) ____________________________________________________________________
LIST ALL MAJOR SUBCONTRACTORS (W/POC & Phone Numbers)
Modifications:_________________________________________________________________________
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 under this solicitation. (May be continued on a blank page, if necessary)
In addition, address the following (May be continued on a blank page, if necessary):
Describe the specific elements of the work performed by your firm ______________________________
Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on this project _______________________________________________
Address any technical areas about this project you consider uniquely relevant to this solicitation _____
• Include a current phone number and email address for point of Contact for Owner/Government agency Contracting Officer and or inspector.
File details come from the government source that posted it. Updated .