Attachment 04-DPW-RFI Template Blank Form V.1.2 W911RX26BA002.pdf

This is a Request for Information (RFI) Report template used by the District of Columbia Department of Public Works (DPW) for federal contracting purposes. The form serves as a standardized document for contractors and stakeholders to request clarification or propose solutions regarding contract issues during project execution.

The RFI template requires completion of key administrative fields including Contract Title, Contract Number, RFI Number, Date, RFI Subject, Prime Contractor name, and the requesting party. Contractors must identify the specific SOW paragraph number and feature of work affected, then describe the problem or issue requiring clarification. The form includes checkboxes to categorize the potential impact as cost-related, schedule-related, other, or no cost change. Contractors propose solutions in a designated section and provide their signature with date and the required response deadline. The COR (Contracting Officer's Representative) evaluation section includes checkboxes for acceptance or rejection of the proposed solution, with space for COR recommendations or responses to contractor questions. The form also incorporates multi-disciplinary stakeholder acceptance indicators for Safety, NEC (National Electrical Code), Fire Department, Master Planning, Environmental, and Other departments, allowing these entities to sign off on proposed solutions before final COR disposition and signature with date.