Attachment 2 - Construction and Design Experience Project Data Sheet.docx

DOCX document 19 KB Posted

Attached to
BIA Great Plain Region MATOC Federal contract opportunity
Solicitation number
140A1621R0003
Issued by
Department of the Interior Bureau of Indian Affairs Central Office

About this file

This document contains a template for contractors to provide construction and design experience project details to support responses for the Bureau of Indian Affairs (BIA) Great Plain Region Construction Multiple Award Task Order Contract (MATOC). The template requests information such as the contractor name and contact information, whether the contractor served as a prime contractor or subcontractor on past projects, contract details including number, type, title, location, dates and pricing, as well as a description of project complexity and relevance to the opportunities covered by the MATOC. Contractors are to complete the template to demonstrate their qualifications for future task orders for construction services within the BIA Great Plain Region that may be awarded under the terms of the MATOC.

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Text version

Solicitation no. 140A1621RXXXX, Construction Multiple Award Task Order Contract Section J, Attachment 2

Attachment 2 Construction & Design Experience Project Data Sheet

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information
Firm Name:CAGE Code:
Address:DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

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