Attachment B Experience Information Form.docx
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- Solicitation number
- 70Z04721RNMACC03
About this file
This document contains an Experience Information Form and details of a related federal contract opportunity. The Experience Information Form is a template for offerors to provide details of up to five relevant past construction or design-build projects from the last six years for evaluation. It requests information on contract details, scope of work, location, customer references, design and construction responsibilities.
The related federal contract opportunity is a Sources Sought notice from the US Coast Guard for their National Multiple Award Construction Contract III. The USCG seeks small businesses capable of performing general construction, marine construction, renovation, alteration and repair projects on an IDIQ or DB/DBB basis in all 50 states, Puerto Rico, Guam and the US Virgin Islands. No solicitation, specifications or drawings are currently available as this is only a Sources Sought notice to identify potential small business offerors and determine if a partial small business set-aside is warranted.
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ATTACHMENT A - EXPERIENCE OVERVIEW SHEET
List work which best illustrates current qualifications relevant to this award. List no more than five (5) CONSTRUCTION and DESIGN-BUILD PROJECTS from the last six (6) years. Each contract listed on this sheet shall have a completed EXPERIENCE INFORMATION FORM (Attachment B) provided. Failure to furnish complete information on all sheets may result in the Government's rejection of your proposal. Mark Prime, Sub, or Joint Venture (ONLY ONE). Explain all projects provided on this sheet with a completed EXPERIENCE INFORMATION FORM (Attachment B).
| Contract Name/Client, | Location of Services |
| Prime | |
| Sub | |
| Joint | |
| Total Contract $ Amount/ Percent Complete | |
| Offeror's Share of Responsibility for Total Construction Contract |
SAMPLE: Storage Building Renovation/Corps of Engineers, McNary Dam, City, State
| X |
| $78,000/85% |
| $69,000 |
1.
2.
3.
4.
5.
OFFEROR’S NAME
DATE
A Name of
Customer/Owner B Name of Point of
Contact C Contact Phone
Number D Contact Email Address
)ATTACHMENT B
EXPERIENCE INFORMATION FORM
PROJECT No. . (Check one): - 1 - 2 - 3 - 4 - 5 - 6 - 7
| 1 |
| Name of Offeror: |
| 2 |
| Project Title: |
| 3 |
| Contract Number: |
| 4 |
| Contract Amount: $ |
| 5 |
| Contract Completion Date: |
| 6 |
| Contract Duration : |
| 7 |
| Description of the Project’s Scope and Magnitude: |
| 8 |
| Location of Project: |
| 9 |
| Customer/Owner Information: |
| 10 |
| Type of work: |
New Construction
Renovation
Repair
Alteration
| 11 | ||
| Type of Contract: | ||
| Design-Build | Design-Bid-Build | Other (explain) |
If Design-Build, what percentage of the total design was provided to you.
| 12 |
| Describe any problems encountered with this project and corrective action taken. |
| 13 |
| Mark the design disciplines required for the project. List the firm performing the design as well as a brief description of the major design components. |
| 14 |
| Describe involvement of the designers during the construction phase of the job. |
| 15 |
| List the construction trades involved in the project as well as the firm that provided that trade. Also provide a brief description of jobs performed by each trade. |
| Trade |
| Firm |
| Description |
1.
2.
3.
4.
5.
Discipline Description Civil Structural Mechanical Electrical Other
| 16 |
| Attach any copies or photographs of industry awards/special recognitions, etc., received for this project (maximum of one page). |
File details come from the government source that posted it. Updated .