Attachment 03 - Project Information Sheet for Contractors.docx

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:

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.