Attachment 03- Project Experience Questionnaire.pdf

VA PROGRAM CONTRACTING ACTIVITY CENTRAL ● 6100 OAK TREE BLVD SUITE 490 ● INDEPENDENCE, OH 44131

Project Experience Questionnaire Submit responses to the questions below that address experience relative to the elements within the current solicitation.

Limit submittals to the quantity of projects and timeframes required in the solicitation. Expand the response sections shown below as needed to adequately address each question (this questionnaire may be expanded to multiple pages if needed).

Including any photos, narratives, and charts that may help demonstrate project experience and relevancy.

Offeror Company Name

REFERENCED PROJECT INFORMATION

Project Title Title Project Location City, State Brief Project Description Description

Project Owner Company Name POC: First & Last Name Phone: (XXX) XXX-

XXXX

CONTRACTOR LIST

List Contractor(s) whose experience on the referenced project is being submitted for evaluation on this proposed project. If more than one contractor is listed (i.e. prime and subcontractors), provide information specific to that contractor.

Contractor Name

Role on Referenced

Project (Prime or Sub)

Trade Price

(list for each contractor’s specific work)

Performance Period

(calendar days) (list for each contractor’s specific work)

Original Final Original Final Name Prime Prime $XXX $X,XXX XX XX Name Subcontractor Plumbing $X,XXX, $X,XXX XXX XXX Name Subcontractor Mechanical

PROJECT EXPERIENCE QUESTIONS

1. Describe the project work.

Response

2. Identify which Project Experience elements relate to the current solicitation. Specifically address: experience with design build, demolition, renovation, pre-fabricated buildings, HVAC and working at a operational medical facility.

Response

3. Provide any other additional project information you believe should be presented.

Response