Att 12 - Project Experience form.docx
DOCX document 22 KB Posted
- Solicitation number
- 36C77626R0075
About this file
This is a Project Experience Form template designed for contractors to document and submit relevant past contract performance as part of their proposal response to this federal solicitation.
The form requires contractors to provide comprehensive information about previous projects, including company name and role (prime or subcontractor), contract and project numbers, NAICS code (236220 - Commercial and Institutional Building Construction), project title and location, contracting officer and owner's project manager contact information, contract type (negotiated or design-build), award and final amounts, key dates (award, notice to proceed, scheduled and actual completion), change order history, OSHA citations if applicable, and a complete list of major subcontractors with points of contact. The form requests a detailed narrative describing the work performed and explaining the relevance of each project to the current opportunity. Contractors must submit a separate completed form for each relevant contract or project. This form is being submitted in response to Solicitation 36C77626R0075 for Plumbing Infrastructure Repairs at Buildings 1, 8, and associated exterior areas in Phoenix, Arizona, issued by the Department of Veterans Affairs Technology Acquisition Center Austin. The underlying project is a design-build contract requiring site investigations, design, construction documents, and execution of comprehensive plumbing and mechanical infrastructure repairs including sewer and vent piping replacement, heat exchanger work, steam piping, condensate systems, valves, traps, insulation, and associated controls across multiple building basements and campus grounds.
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Text version
ATTACHMENT 03
PROJECT INFORMATION SHEET FOR CONTRACTORS
The experience presented on this form must be in accordance with all Request for Proposal instructions. Provide a separate completed form for each contract/project submitted.
NAICS
236220 Commercial and Institutional Building Construction
Provide the following information requested in this format for each of the projects/contracts being described. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required.
OFFEROR (YOUR) NAME (COMPANY/DIVISION):
ROLE ON CONTRACT (PRIME OR SUBCONTRACTOR):
CONTRACT NO:
PROJECT NO:
NAICS:
PROJECT TITLE:
LOCATION:
CONTRACTING OFFICER/POC:
PHONE NO:
E-MAIL ADDRESS:
OWNER’S PROJECT MANAGER/POC (For example the COR):
PHONE NO:
E-MAIL ADDRESS:
TYPE OF CONTRACT (Negotiated, Design/Build):
AWARD AMOUNT: $ FINAL AMOUNT: $ AWARD DATE:
NOTICE TO PROCEED DATE:
ORIGINAL SCHEDULED COMPLETION DATE:
ACTUAL COMPLETION DATE:
NUMBER OF CHANGE ORDERS AND REASON FOR CHANGES:
OSHA CITATIONS (If Applicable):
LIST ALL MAJOR SUBCONTRACTORS (W/POC & Phone Numbers):
NARRATIVE:
Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant, or somewhat relevant.
File details come from the government source that posted it. Updated .