Phase I EXHIBIT A - Project Example.docx

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Y1DZ--595-23-4-5482-0014 | NRM| 595-23-113, Construct UPS for MRI Chiller D/B (VA-23-00045591) Federal contract opportunity
Solicitation number
36C24423R0076
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4

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EXHIBIT A PROJECT EXAMPLE

PART 1: Prepare a minimum of one (1) and a maximum of two (2) projects that closely match the Scope of Work requirements.

Provide the following information requested in this format for each of the project(s)/contract(s) being described. Projects may be on going and cannot have been completed any later than 5 years prior to the solicitation issue date. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use additional space as required.

A. Offeror (Your) Name (Company/Division):

B. Project/Contract Title:

C. Contract Specifics:

1. Description of Effort as Prime or _Subcontractor

2. Contract Number

3. Original Contract $ Value Current/Final Contract $ Value

4. If amounts in 3 above are different, provide a brief description of the reason:

5. Completion Date:

1. Original Date:

2. Current Schedule: _____________________

3. Estimate/Final Completion Date:

4. Primary cause for Contract Modifications

D. Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant or semi-relevant to this solicited project. (Use as much space as necessary)

In addition, address the following:

1. Describe the specific elements of the work performed by your firm.

2. Indicate what elements of work were performed by your major subcontractors and indicate if those same subcontractors will be used on projects awarded under this solicitation. Should you intend to use these same subcontractors, please list their company names and described their principal areas of work that they will perform.

3. Address any technical areas about this project you consider uniquely relevant to this solicitation.

E. Point of Contact for Owner/Government agency Contracting Officer and or inspector (COR / COTR); include a current phone number and email address for each.

Part 2, Additional offeror information required.

A. Name subcontractors and/or Teaming Partners to be utilized on this contract. Multiple subcontractors may be named for the same discipline but are limited to a maximum of three (3) subcontractors per discipline.

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