Factor_2_form.pdf

AG-0116-S-14-0021

Technical Evaluation Factor 2 Form

Co-Located Sitka Office Renovation

NOTE: This information and Questionnaires are due not later than 10 days prior to the proposal due date.

(2) Technical Experience. (Prime/Subcontractor/Individual) – Submit at LEAST one (1) but not more than three (3) projects, as a firm or individual responsible for the oversight and management of the LEED process, that have ACHIEVED as a minimum LEED Silver in the New Construction and Major

Renovations Rating System. The Government will not consider a contract that has not yet achieved the

LEED Certification or that achieved the certification more than 5 years ago. Submit proof of the LEED certification level and the LEED Scorecard showing the points achieved.

Briefly describe the project and how it meets or exceeds this Factor:

Cont:…

PRIME CONTRACTOR INFORMATION:

By completing this form you are representing that the above information is accurate and true as of the date of the signature.

Company Name: ___________________________________

Individuals Name: _________________________________ Phone: ______________________

Signature of Individual: _____________________________ Date: _______________________

E-mail Address: _____________________________________________

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Technical Evaluation Factor 2 Form

Contract Details

Offeror Name: ___________________________________________________________________

List the information for the most recent contracts for this evaluation factor. Provide the survey to the

Owner/Organization. (Surveys must be submitted directly to FS by the Owner/Agency)

Name of Contractor Accomplishing this Work: __________________________________________

Project Name/Number: _________________________________________________

Project Contract Number:____________________________________

Owner/Organization Name: _______________________________________________

Address: ______________________________ P.O. Box/Street

City, State, Zip Code

Owner/Organization Point of Contact: _______________________________________ Name

Owner/Organization Phone Number: _______________________________________

Contract Value: $_________________ Performance Period: ____________________________

Asbestos Abatement of no less than _________:

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