Attachment B Experience Information Form_Rev1.docx
DOCX document 121 KB Posted
- Solicitation number
- 70Z04721RNMACC03
About this file
This document contains an experience information form and sources sought notice for a federal contract opportunity. The experience information form requests details on up to seven relevant past construction or design-build projects from the last eight years. Contractors must provide information such as contract value, completion date, scope of work, location, customer details, type of contract, design responsibilities, construction trades involved, and any industry awards. The sources sought notice is seeking capable small businesses for a National Multiple Award Construction Contract to perform general construction, marine construction, renovation, alteration and repair projects on a design-build or design-bid-build basis for the United States Coast Guard in the 50 states, Puerto Rico, Guam and the U.S. Virgin Islands. No solicitation, specifications or drawings are currently available as this is a sources sought notice to identify potential contractors and determine if a small business set-aside is warranted.
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ATTACHMENT B.1 - EXPERIENCE OVERVIEW SHEET
List work which best illustrates current qualifications relevant to this award. List no more than seven (7) CONSTRUCTION and DESIGN-BUILD PROJECTS from the last eight (8) 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.
6.
7.
OFFEROR’S NAME
DATE
ATTACHMENT B.2A
Name of Customer/Owner
B Name of Point of Contact
C Contact Phone Number
D Contact Email Address
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 .