Appendix A - Project Data Form.pdf
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- Attached to
- Architectural and Engineering Services for UNH Combined Heat & Power Plant Equipment Replacement
- Solicitation number
- 212027986
- Issued by
- New Hampshire
About this file
Appendix A is a Project Data Form used by the University of New Hampshire (USNH) to evaluate the qualifications and experience of firms responding to a request for Architectural and Engineering (A/E) Services for the UNH Combined Heat & Power Plant Major Equipment Replacement project. Respondents are required to submit between three and five representative projects that demonstrate relevant experience, with each submission documenting the project delivery method (Design/Build, Construction Management, or Design/Bid/Build), facility type, whether the work involved new construction or renovation, and detailed information about the project scope, location, ownership, and key personnel involved. The form requires documentation of project components including gross square footage, percentage of new construction, and extent of site work and utilities, along with identification of major subconsultants and their roles.
The form requests comprehensive financial and scheduling information for each representative project, including original contract amounts, change order totals, final contract amounts, and detailed explanations if change orders exceed five percent of the original contract value. Firms must provide design and construction schedules with specific milestone dates, including schematic design completion, design development completion, construction document completion, notice to proceed, contracted completion date, and substantial completion date, with explanations required if actual completion dates vary more than three weeks from contracted dates. The form also requires submission of representative project photographs and contact information for project owners, contractors, and key personnel, allowing firms to provide additional supporting documentation to demonstrate their capacity and experience with projects similar in scope and complexity to the proposed UNH Combined Heat & Power Plant equipment replacement initiative.
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APPENDIX A - PROJECT DATA FORM
(Complete and submit this form for a minimum of 3 but no more than 5 representative projects)
FIRM: _________________________________________________________________________________
Project Delivery Method: Design/Build; Construction Management; Design/Bid/Build
Facility Type: ____________________________________________________________________________
New or Renovation: ________________________________________________________________________
Project Name: ________________________________________________________________________
Project Address: ________________________________________________________________________
Owner’s Name: ________________________________________________________________________
Owner’s Address: ________________________________________________________________________
Owner’s Contact: ___________________________________ Phone Number: ________________________
Owner’s Email: _____________________________________
Firm’s Key Members Who Worked on this Project
Name Role in Project Role for Proposed Project
1. Project Description: (please emphasize similarities to proposed project):
2. Project Components.
Gross SF ___________ % of project that was new construction_______
Describe extent of site work and site utilities included in construction cost below
3. Major Subconsultants with their Key Individuals and Roles:
Firm Key Individual Role in Project Role in Proposed Project, if any
4. Prime Contractor: ________________________________________________________________________
Address: _______________________________________________________________________________
Contact Name: ______________________________ Phone Number: _____________________
5. Construction Costs:
Original Contract Amount: $____________________
Change Order Total: $____________________
Final Contract Amount: $____________________
If Change Order Total exceeds 5% of the Original Contract Amount, please explain:
6. Project Schedule:
DESIGN CONSTRUCTION
Original Hire Date Original Hire Date
Schematic Design Completed (date)
Notice to Proceed Date
Design Development Completed (date)
Contracted Completion Date
Construction Documents Completed (date)
Date of Substantial Completion (final payment)
If Date of Substantial Completion varies more than three weeks from the Contracted Completion Date, please explain:
7. Additional Comments/Information: In addition to filling out this form completely, please feel free to attach other project information hereto.
8. Photographs: Please attach representative photographs of project.
| FIRM: |
| DesignBuild: Off |
| Construction Management: Off |
| DesignBidBuild: Off |
| Facility Type: |
| New or Renovation: |
| Project Name: |
| Project Address 1: |
| Project Address 2: |
| Owners Name: |
| Owners Address 1: |
| Owners Address 2: |
| Owners Contact: |
| Phone Number: |
| Owners Email: |
| NameRow1: |
| Role in ProjectRow1: |
| Role for Proposed ProjectRow1: |
| NameRow2: |
| Role in ProjectRow2: |
| Role for Proposed ProjectRow2: |
| NameRow3: |
| Role in ProjectRow3: |
| Role for Proposed ProjectRow3: |
| NameRow4: |
| Role in ProjectRow4: |
| Role for Proposed ProjectRow4: |
| NameRow5: |
| Role in ProjectRow5: |
| Role for Proposed ProjectRow5: |
| Project Description please emphasize similarities to proposed project 1: |
| Project Description please emphasize similarities to proposed project 2: |
| Project Description please emphasize similarities to proposed project 3: |
| Project Description please emphasize similarities to proposed project 4: |
| Project Description please emphasize similarities to proposed project 5: |
| Project Description please emphasize similarities to proposed project 6: |
| Project Description please emphasize similarities to proposed project 7: |
| Project Description please emphasize similarities to proposed project 8: |
| 1: |
| 2: |
| 3: |
| 4: |
| 5: |
| Gross SF: |
| of project that was new construction: |
| Describe extent of site work and site utilities included in construction cost below 1: |
| Describe extent of site work and site utilities included in construction cost below 2: |
| Describe extent of site work and site utilities included in construction cost below 3: |
| FirmRow1: |
| Key IndividualRow1: |
| Role in ProjectRow1_2: |
| Role in Proposed Project if anyRow1: |
| FirmRow2: |
| Key IndividualRow2: |
| Role in ProjectRow2_2: |
| Role in Proposed Project if anyRow2: |
| FirmRow3: |
| Key IndividualRow3: |
| Role in ProjectRow3_2: |
| Role in Proposed Project if anyRow3: |
| FirmRow4: |
| Key IndividualRow4: |
| Role in ProjectRow4_2: |
| Role in Proposed Project if anyRow4: |
| Prime Contractor: |
| Address: |
| Contact Name: |
| Phone Number_2: |
| undefined: |
| undefined_2: |
| undefined_3: |
| If Change Order Total exceeds 5 of the Original Contract Amount please explain 1: |
| If Change Order Total exceeds 5 of the Original Contract Amount please explain 2: |
| If Change Order Total exceeds 5 of the Original Contract Amount please explain 3: |
| If Change Order Total exceeds 5 of the Original Contract Amount please explain 4: |
| Original Hire Date: |
| Original Hire Date_2: |
| Schematic Design Completed date: |
| Notice to Proceed Date: |
| Design Development Completed date: |
| Contracted Completion Date: |
| Construction Documents Completed date: |
| Date of Substantial Completion final payment: |
| explain 1: |
| explain 2: |
| explain 3: |
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