ATTACHMENT 1 - CONTRACTOR EXPERIENCE FORM.docx
DOCX document 21 KB Posted
- Solicitation number
- 36C24726R0026
About this file
This is a Contractor Experience Form template designed to document and evaluate a contractor's relevant project history and performance qualifications.
The form requests comprehensive details about a contractor's past construction projects, including project identification, ownership information, and point of contact details. Key sections require documentation of the contractor's role (prime contractor status and percentage of self-performed work), contract number, timeline information (contract date, work commencement, and completion dates), and financial data (contract value at award and final invoiced amounts). The form emphasizes demonstration of experience directly relevant to the solicitation requirements through detailed descriptions of construction work scope and nature. Additional evaluation sections address project challenges and obstacles encountered during performance and their resolutions, unforeseen conditions and corresponding remedial actions, and current project status, with options ranging from work continuing on or behind schedule to completed projects with varying levels of administrative, claims, or litigation activity. The form includes provision for continuation sheets to accommodate additional project information as necessary. This template is associated with the VISN 7 Construction MATOC (Solicitation 36C24726R0026), an Indefinite-Delivery, Indefinite-Quantity contract vehicle for construction, maintenance, alteration, and repair services across eight major Department of Veterans Affairs medical facilities within VISN 7.
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Text version
Attachment 1 Contractor Experience Form
1. Project name and location (City, State, Country
2. Project owners name and address: (Government Agency, commercial firm or other organization)
3. Project owners Point of Contract Information: (name, phone, email address)
4. Were you the Prime Contractor? YES NO
Percentage of work that was self-performed? ____________%
5. Contract number of project
6. Date of contract
| 7. Date work began |
| 8. Completion Dates: |
Initial: ________________
Actual: _______________
9. Project Completion Percentage (%)
8. Contract Value at Time of Award
9. Final invoiced amount (or amount invoiced to date)
10. Description of Construction contract work - describe nature and scope of work. Detail how project demonstrates experience requirements Use continuation sheet for additional information, if necessary.
11. Describe any difficulties and/or obstacles encountered during performance; steps taken toward resolution
12. Describe unforeseen conditions and how each were resolved
13. Current status of project (check one)
___ Work continuing, on schedule ___ Work continuing, behind schedule ___ Work completed, no further action pending ___ Work completed, routine administrative action pending ___ Work completed, claims negotiation pending/underway ___ Work completed, litigation pending/underway ___ Terminated for convenience ___ Terminated for default ___ Other (Explain, use additional sheets as necessary)
File details come from the government source that posted it. Updated .