AMD 03 Revised - Attachment 1 - MACC Construction Experience Project Data Sheet.pdf

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Multiple Award Construction Contract (MACC)

Attachment 1– Construction Experience - Offeror, Page 1 of 1 (Rev 1/23)

ATTACHMENT “1”

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET – OFFEROR

This form is to be completed by the Offeror. Submit (one per project) in order to provide supporting project information for Factor 1, subfactor 3, Construction Experience. Only projects that are within the project description parameters of the solicitation will be considered relevant. Submit total of 4 projects. All other projects will not be considered. A Page 2 can be used if information will not fit in blocks provided below.

Project No. (check one): - 1 - 2 - 3 - 4 Contractor:

1. Offeror Name:

Firm who performed the work:

Performed this work as: Prime Contractor Joint Venture Other (explain):

If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror:

Joint Venture Partner Partner Subsidiary Parent Company

Affiliate Predecessor Company Other:

Construction Contract:

2. Contract/Project No.: Delivery/Task Order Number:

Title:

Location:

Brief Project Description:

3. Award Date (mm/dd/yy): Award Amount: $

Completion Date (mm/dd/yy): Current/Final Amount: $

4. Type of Contract: Design-Build. If D-B, design firm was:

(check one) Design-Bid-Build

Customer:

5. Name:

Point of Contact Name/Title:

POC Phone Number: POC Email Address:

Project Description:

6. Type of Work (check all that apply): New Construction Renovation/Repair

7. Type of Project: (check all that apply):

☐Biomedical Research Laboratory ☐Animal Care Research Facility ☐Predominantly Utility Project ☐Hospital ☐Renovation/Repair