ATTACHMENT_6.docx

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Repair HVAC System in Multi-Mission Building and Boat Maintenance Facility at STA Jones Beach, Freeport, NY
Solicitation number
70Z0G118RPRV03600
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Experience Information Form, Attachment 6

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ATTACHMENT 6

PROJECT INFORMATION FORM

PROJECT No. (Check one) _____ -1 ____-2 _____-3 _____-4 _____ -5

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
A
Name of Customer/Owner
B
Name of Point of Contact
C
Contact Phone Number
D
Contact Email Address
10
Type of work:

_______ New Construction ______ Renovation _______ Repair _______ Alteration

11
Describe any problems encountered with this project and corrective action taken.
12
List the construction trades involved in the projects 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.

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