The file's text, extracted by GovTribe without its formatting.
PROJECT MANAGER
| RFP # 36C26121R0079 | FACTOR # 2: KEY PERSONNEL RESUMES |
| PAD Hybrid OR Suite Construction Project | |
State Prime Contractor Name:
PROJECT MANAGER Complete all fields with sufficient detail.
| PROJECT MANAGER | Provide Response Here |
| Name: | |
| Name of Firm, Position held, Dates of Employment: | |
| Number of Years with other Firms, Position held, dates of employment: | |
| Educational Background: (Year, Degree, Specialization, Name of U.S. Accredited University) | |
| Current Employee of Prime Contractor? YES or NO. If no, include a Letter of Commitment stating this person will become an employee of Prime Contractor prior to issuance of Notice to Proceed. | |
| Professional Registration (if any): (Year, State, Discipline) | |
| Training Course Completed: (COE construction quality management, Safety, etc.) | |
| State specific Safety Compliance and Sustainability training (type, dates completed), credentials (type, date completed), etc.: | |
Provide up to two (2) completed construction projects for Project Manager that are relevant in scope and complexity to this project and completed within last 6 years. If Project Manager has not worked on at least one relevant completed construction project within the last 6 years, provide a narrative explaining why/how this person is qualified and/or how your firm will mitigate performance risk with respect to this Key Personnel.
| PROJECT 1: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
| PROJECT 2: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
SUPERINTENDENT
| RFP # 36C26121R0079 | FACTOR # 2: KEY PERSONNEL RESUMES |
| PAD Hybrid OR Suite Construction Project | |
State Prime Contractor Name:
SUPERINTENDENT Complete all fields with sufficient detail.
| PROJECT SUPERINTENDENT | Provide Response Here |
| Name: | |
| Name of Firm, Position held, Dates of Employment: | |
| Number of Years with other Firms, Position held, dates of employment: | |
| Educational Background: (Year, Degree, Specialization, Name of U.S. Accredited University) | |
| Current Employee of Prime Contractor? YES or NO. If no, include a Letter of Commitment stating this person will become an employee of Prime Contractor prior to issuance of Notice to Proceed. | |
| Professional Registration (if any): (Year, State, Discipline) | |
| Training Course Completed: (COE construction quality management, Safety, etc.) | |
| State specific Safety Compliance and Sustainability training (type, dates completed), credentials (type, date completed), etc.: | |
Provide up to two (2) completed construction projects for Superintendent that are relevant in scope and complexity to this project and completed within last 6 years. If Superintendent has not worked on at least one relevant completed construction project within the last 6 years, provide a narrative explaining why/how this person is qualified and/or how your firm will mitigate performance risk with respect to this Key Personnel.
| PROJECT 1: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
| PROJECT 2: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
QC MANAGER or TEAM
| RFP # 36C26121R0079 | FACTOR # 2: KEY PERSONNEL RESUMES |
| PAD Hybrid OR Suite Construction Project | |
State Prime Contractor Name:
| QUALITY CONTROL (QC) MANAGER / TEAM* | Complete all fields with sufficient detail. |
| *If you are proposing to utilize a QC Manager who is also the Subject Matter Specialist (SMS), complete the section below for QC Manager only. If you are proposing to utilize a QC Manager who will utilize a separate SMS for this project, complete the section below for QC Manager as well as the section for "QC/SMS Team Member" (below) for each QC/SMS member who will assist the QC Manager for this project. | |
| QC MANAGER | Provide Response Here |
| Name: | |
| Name of Firm, Position held, Dates of Employment: | |
| Number of Years with other Firms, Position held, dates of employment: | |
| Educational Background: (Year, Degree, Specialization, Name of U.S. Accredited University) | |
| Current Employee of Prime Contractor? YES or NO. If no, include a Letter of Commitment stating this person will become an employee of Prime Contractor prior to issuance of Notice to Proceed. | |
| Professional Registration (if any): (Year, State, Discipline). Should include registered architect, professional engineer and/or any professional individual within the healthcare industry that has knowledge and experience in the construction of catheterization laboratories/hybrid operating rooms and/or endovascular suites: | |
| Training Course Completed: (COE construction quality management, Safety, etc.) | |
| State specific Safety Compliance and Sustainability training (type, dates completed), credentials (type, date completed), etc.: | |
Provide up to two (2) completed construction projects for QC Manager that are relevant in scope and complexity to this project and completed within last 6 years. If QC Manager has not worked on at least one relevant completed construction project within the last 6 years, provide a narrative explaining why/how this person is qualified and/or how your firm will mitigate performance risk with respect to this Key Personnel.
| PROJECT 1: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
| PROJECT 2: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
NOTE: The SMS team members shall have knowledge and experience in the construction of Complex Integrated Surgical Platforms. Examples of such experience include: 1) Complex Tertiary Quaternary/Academic Hospitals; 2) Integrated Interventional Surgical Suites, 3) Hybrid OR utilizing the following modality technology: Bi-Plane OR and Endovascular Suites; Monoplane OR and Endovascular Suites; Robotic OR and Endovascular Suites (Pheno and IGS 730/740).
| QC/SMS Team Member (if applicable) | Provide Response Here |
| Name: | |
| Proposed Assignment to this Project: | |
| Name of Firm, Position held, Dates of Employment: | |
| Number of Years with other Firms, Position held, dates of employment: | |
| Educational Background: (Year, Degree, Specialization, Name of U.S. Accredited University) | |
| Current Employee of Prime Contractor? YES or NO. If no, include a Letter of Commitment stating this person will become an employee of Prime Contractor prior to issuance of Notice to Proceed. | |
| Professional Registration (if any): (Year, State, Discipline). Should include registered architect, professional engineer and/or any professional individual within the healthcare industry that has knowledge and experience in the construction of catheterization laboratories/hybrid operating rooms and/or endovascular suites: | |
| Training Course Completed: (COE construction quality management, Safety, etc.) | |
| State specific Safety Compliance and Sustainability training (type, dates completed), credentials (type, date completed), etc.: | |
Provide up to two (2) completed construction projects for QC/SMS Team Member that are relevant in scope and complexity to this project and completed within last 6 years. If QC/SMS team member has not worked on at least one relevant completed construction project within the last 6 years, provide a narrative explaining why/how this person is qualified and/or how your firm will mitigate performance risk with respect to this Key Personnel.
| PROJECT 1: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
| PROJECT 2: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
| QC/SMS Team Member (if applicable) | Provide Response Here |
| Name: | |
| Proposed Assignment to this Project: | |
| Name of Firm, Position held, Dates of Employment: | |
| Number of Years with other Firms, Position held, dates of employment: | |
| Educational Background: (Year, Degree, Specialization, Name of U.S. Accredited University) | |
| Current Employee of Prime Contractor? YES or NO. If no, include a Letter of Commitment stating this person will become an employee of Prime Contractor prior to issuance of Notice to Proceed. | |
| Professional Registration (if any): (Year, State, Discipline). Should include registered architect, professional engineer and/or any professional individual within the healthcare industry that has knowledge and experience in the construction of catheterization laboratories/hybrid operating rooms and/or endovascular suites: | |
| Training Course Completed: (COE construction quality management, Safety, etc.) | |
| State specific Safety Compliance and Sustainability training (type, dates completed), credentials (type, date completed), etc.: | |
Provide up to two (2) completed construction projects for QC/SMS Team Member that are relevant in scope and complexity to this project and completed within last 6 years. If QC/SMS team member has not worked on at least one relevant completed construction project within the last 6 years, provide a narrative explaining why/how this person is qualified and/or how your firm will mitigate performance risk with respect to this Key Personnel.
| PROJECT 1: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
| PROJECT 2: | Provide Narrative Here |
| Contract No: | |
| Title: | |
| Contract Amount: | |
| Contract Start/Completion Date: | |
| Role in Project (PM, Sup, QC, Safety): | |
| Relevant Work Experience (should include construction experience of Cardiovascular Catherization Imaging Laboratories, EP Laboratories, Interventional Radiology and Vascular Surgery Suites including radiation protection of said procedure rooms, suites, surgical operatories: | |
