Attachment A - Construction _ Design Experience Project Data Sheet Revised.docx

DOCX document 26 KB Posted

Attached to
Z1DA--FY25 VISN 21 Multiple Award Construction Contract (MACC)
Solicitation number
36C26124R0035
Issued by

About this file

This is an Attachment A Construction Project Data Sheet template, revised February 2025, used to collect past performance information for construction projects as part of solicitation 36C26124R0035, a VISN 21 Multiple Award Construction Contract (MACC). The template requires offerors to provide detailed information for up to five construction contracts, including contract specifics, dollar values, periods of performance, type of work (new construction, renovation, repair, or alteration), and points of contact.

The related solicitation is for a Service-Disabled Veteran-Owned Small Business (SDVOSB) Multiple Award Construction Contract with Design-Build/Design-Bid-Build services for the Department of Veterans Affairs VISN 21. The MACC has a total ceiling of $600 million, with individual awardee limits of $50 million over the contract life. The period of performance includes a two-year base period and three one-year options. Task orders will range from $2,000 to $10 million, with a guaranteed minimum of $2,000 per awardee. Offerors must be VetCert verified at proposal submission and maintain certification through award.

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Attachment A - Construction _ Design Experience Project Data Sheet.docx DOCX document
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Text version

ATTACHMENT A

CONSTRUCTION PROJECT DATA SHEET

Revised February 12, 2025

Provide the information requested in this form for each contract/program being described. Comments shall be honest and concise regarding your performance on the contracts you identify. Each contract/program submitted must be provide on its own separate form.

Project No. (Check one): ☐ CON #1 ☐ CON #2 ☐ CON #3 ☐ CON #4 ☐ CON #5

A.Offeror Name (Company Division):
CAGE Code:
SAM UEI Number:

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the “Organizational Structure Change History” you provide as part of your Past Performance Volume.)

B.Program Title:

C. Contract Specifics:

1.Contracting Agency or Customer:
2.Contract Number (include order number if applicable:
3.Contract Type (FFP, Cost, etc):
4.Period of Performance:
5.Original Contract $ Value:
6.Current Contract $ Value:

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason:

8. Type of Contract/Task Order (Check ALL that apply)

☐ Firm-Fixed Price ☐ Cost/Time and Material ☐ Other (explain):

9. Type of Work:

☐ New Construction ☐ Renovation ☐ Repair ☐ Alteration ☐ Other (explain):

D.Brief Description of Contract.
Effort was performed as☐Primeor☐Subcontractor

Provide a detailed description of the project.

Provide a detailed description of what work your firm self-performed on this project and highlight portions considered most relevant to current acquisition. If design-build, include a description of the design effort. Include the percent of project work performed. If subcontractor, who was prime (Name/Phone #)?

E. Are there Contractor Performance Assessment Reports (CPARS) available for this contract?

☐Yes ☐No

F. Completion Date

1. Original Established Completion Date (based on NTP or NOA):

2.Current Project Percentage Complete as of Present Date:
3.New Estimated Completion Date (if applicable):
4.How many Extension(s) to Original Period of Performance have been executed:

5. Reason(s) for change(s) to Period of Performance:

G. Construction Project

1. Award Amount: _____________________

2. Final Price: ________________________

3. Type of Contract/Task Order (Check ALL that apply)

☐ Design-Build ☐ Design-Bid-Build ☐ Delivery/Task Order (IDIQ) ☐ Other (explain):

4. If Design-Build, identify the Lead Design Firm: ___________________________________________

H. Primary Customer Points of Contact: Primary Customer Points of Contact (POC): [Identified POCs should be individuals most knowledgeable about your performance, i.e., contracting officers, technical representatives, program manager, or the commercial equivalent of these individuals. Please identify a minimum of 2 POCs for each contract. IAW the solicitation, questionnaires should be sent to these same individual(s).]

1.
Name:
Office:
Address:
Telephone:
Fax Number:
E-mail:
2.
Name:
Office:
Address:
Telephone:
Fax Number:
E-mail:

J. Address any technical (or other) area about this contract/program considered unique.

File details come from the government source that posted it. Updated .