S02 EXHIBIT A Past Performance Info Sheet for Contractors.pdf
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- Solicitation number
- 36C24124R0065
About this file
This document is an EXHIBIT A: PAST PERFORMANCE INFORMATION SHEET FOR CONTRACTORS, which provides a template for contractors to submit past performance information for a federal contract opportunity.
The key details include:
- The contractor must provide information such as contract number, project title, location, contracting officer/POC, type of contract, award and final amounts, award and completion dates, change orders, OSHA citations, and major subcontractors for each relevant project/contract.
- This past performance information is required as part of Factor 1 for the federal contract opportunity, which has a Solicitation Number of 36C24124R0065 and is for the "Z1DA--650-CSI-3516 Renovate Upgrade Angio OR Suite Construction" project at the VA Medical Center in Providence, RI. The project is a Firm Fixed Price construction contract between $1-5 million, set aside for Service-Disabled Veteran-Owned Small Businesses, with a bid bond requirement.
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Text version
EXHIBIT A: PAST PERFORMANCE INFORMATION SHEET FOR
CONTRACTORS
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:
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):
File details come from the government source that posted it. Updated .