Attachment 04 - Project Information Sheet for Contractors.docx

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Z2DA--689-22-700 EHRM IU West Haven VAMC This ONLY for the PCAC VISN 1 Construction MATOC Pool
Solicitation number
36C77626R0106
Issued by

About this file

This is a Project Information Sheet template designed for contractors to document their relevant experience in response to a federal contract solicitation for commercial and institutional building construction (NAICS 236220).

The form requires contractors to provide comprehensive details about past projects and contracts, including company name, role as prime or subcontractor, contract and project numbers, project title and location, contracting officer and owner's project manager points of contact with phone and email information, contract type, award and final amounts, key dates (award, notice to proceed, scheduled completion, and actual completion), change order history with reasons, any OSHA citations, and a list of major subcontractors with contact information. The critical element is a narrative section where contractors must provide a detailed description of work performed and justify the relevance of each project to the current solicitation, categorizing the relevance level as very relevant, relevant, or somewhat relevant. This template is intended for submission in response to Solicitation 36C77626R0106 (689-22-700 EHRM IU West Haven VAMC) issued by the Department of Veterans Affairs Technology Acquisition Center Austin for the PCAC VISN 1 Construction MATOC Pool. Contractors must submit a separate completed form for each contract or project being presented as part of their experience portfolio.

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Other files

File Type Posted
Attachment 01 - 36C77626R0106 Tech Questions - dated 7-30-26.docx DOCX document
36C77626R0106 0004.docx DOCX document
Attachment 01d - Addendum R1-001EP400Ga_041EP101_041EP702-Door Schedule-EHRM-689-22-700.pdf PDF
Attachment 01c - Addendum R1-A-601-Door Schedule-EHRM-689-22-700.pdf PDF
Attachment 01a - Addendum R1-S-101_S-502-EHRM-689-22-700.pdf PDF
Attachment 01 - 36C77626R0106 Tech Questions - dated 7-31-26.docx DOCX document
Attachment 01b - Addendum R1-087100 Door Hardware Spec-EHRM-689-22-700.pdf PDF
Attachment 01e - Addendum R1-001TN400Ga_041TN101-Door Schedule-EHRM-689-22-700.pdf PDF
Attachment 01 - 36C77626R0106 Tech Questions - dated 7-30-26.docx DOCX document
36C77626R0106 0003.docx DOCX document
Attachment 01a - Addendum R1-A-601-Door Schedule-EHRM-689-22-700.pdf PDF
Attachment 02 - Revised 1442 - 36C77626R0106.docx DOCX document
Attachment 01c -Addendum R1-Structural Drawings-EHRM-689-22-700.pdf PDF
Attachment 01b - 08 71 00 - Door Hardware_Rev1.pdf PDF
36C77626R0106 0002.docx DOCX document
Attachment 01 - Sign-In Sheet - 689-22-700 - EHRM West Haven - 7-13-26.pdf PDF
36C77626R0106 0001.docx DOCX document
Attachment 08 - VOL_3a-ARCH-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 13 - VOL_5c-ELECTRICAL-VA CT West Haven EHRM IU-689-22-700.pdf PDF
Attachment 05c - Specifications_Div_26-28-West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 05a - Specifications_Div_00-13-West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 19 - APPNDX_D-Geotechnical_Report-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 05b - Specifications_Div_21-23-West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 17 - APPNDX_B-Drainage_Rprt-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 07 - VOL_2-STRUCT-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 06 - VOL_1-CIVIL-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 09 - VOL_3b-ARCH-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 22 - 689-22-700 Risk Matrix 2026.pdf PDF
Attachment 21 - APPNDX_F-Topo Survey-VA CT West Haven EHRM IU-689-22-700.pdf PDF
Attachment 16 - APPNDX_A-Commissioning_Plan-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 18 - APPNDX_C-Environmental_Report-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 15 - VOL_6b-TELECOM-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 11 - VOL_5a-ELECTRICAL-VA CT West Haven EHRM IU-689-22-700.pdf PDF
Attachment 14 - VOL_6a-TELECOM-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 05d - Specifications_Div_31-33-West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 10 - VOL_4-MECH-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 20 - APPNDX_E-PSRDM_Conformance_Letter-VA_CT_West_Haven_EHRM_IU-689-22-700.pdf PDF
Attachment 12 - VOL_5b-ELECTRICAL-VA CT West Haven EHRM IU-689-22-700.pdf PDF
Attachment 02 - Site Visit - West Haven.docx DOCX document
Attachment 01 - Limitations on Subcontracting - EHRM West Haven.docx DOCX document
Attachment 03 - Wage Determination CT20260023 Rev 2 dated 5-18-26.pdf PDF
36C77626R0106.docx DOCX document
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Text version

ATTACHMENT 04

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 .