Attachment_11_-_Project_Experience_Form.doc
DOC document 104 KB Posted
- Solicitation number
- 140P3022R0028
About this file
This document contains a Project Experience Form required as part of a solicitation from the National Park Service for repair of Turkey Run Park Road and parking lot pavement. Offerors must complete the form providing details of up to three prior relevant projects, including descriptions, contract amounts, dates, whether the firm served as a prime contractor or subcontractor, any contract modifications or time extensions, and any past disputes or defaults. The solicitation number is 140P3022R0028 and involves work by the National Capital Area branch to repair infrastructure within the George Washington Memorial Parkway. The pre-bid meeting is scheduled for August 4th and last day for questions is August 11th. Offerors are advised to carefully review sections K through M of the solicitation regarding submission requirements for all necessary documents.
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Text version
PROJECT EXPERIENCE FORM
REQUIRED DOCUMENT: 140P3022R0028
Offerors must complete this form for evaluation purposes
| NAME OF FIRM |
| POINT OF CONTACT |
TELEPHONE NO.
EMAIL ADDRESS
PRIOR PROJECT EXPERIENCE
(TO BE COMPLETED BY THE OFFEROR)
PROJECT DESCRIPTION
(USE BLANK PAGE IF NECESSARY)
| CONTRACT/PROJECT NO. |
| LOCATION |
| CONTRACT AMOUNT (ROUND TO NEAREST DOLLAR) |
| ORIGINAL |
| FINAL |
1.
| $ |
| $ |
2.
| $ |
| $ |
3.
| $ |
| $ |
| NAME OF CLIENT/AGENCY (correlates w/ above project descriptions) |
| POINT OF CONTACT |
| TELEPHONE NO. |
| EMAIL ADDRESS |
1.
2.
3.
| ORIGINAL PROJECT DATES |
| WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR? |
| WERE THERE CONTRACT MODIFICATIONS? (YES/NO) |
| HOW MANY? |
| WHO INITIATED THEM? CLIENT, CONTRACTOR OR BOTH? |
| START |
| COMPLETION |
1.
2.
3.
| WERE THERE ANY TIME EXTENSIONS? (YES/NO) |
| IF SO, INDICATE NEW COMPLETION DATE? |
| WAS THE SCHEDULE MET? |
(YES/NO)
IF NOT, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
| HAVE YOU EVER ENTERED A DISPUTE? (YES/NO) |
| IF SO, WHAT WAS THE REASON? |
(USE BLANK PAGE IF NECESSARY)
HAVE YOU EVER
BEEN DEFAULTED?
(YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
File details come from the government source that posted it. Updated .