Attachment 2- Project Data Sheet.pdf

Attachment 2

PROJECT DATA SHEET

Project (check one): Contract 1 Contract 2 Contract 3 Contract 4 Contract 5

Contract 6 Contract 7 Contract 8 Contract 9 Contract 10

1. Experience for: Offeror Joint-Venture Subcontractor (Explain)_______________

Firm Name:

UEI #:

Address:

Phone Number:

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 prime (Name/Phone #):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

Contract Dollar Value:

Award date (mm/dd/yy): Completion Date (mm/dd/yy):

4. Type of work monitored:

New Construction Renovation Repair Alteration Other (explain):

5. Type of Contract/Task Order (Check ALL that apply):

Firm-Fixed Price Cost/Time and Material Other (explain):

6. Construction Project:

Award Amount: Final Price:

Type of Construction Contract/Task Order (Check ALL that apply):

Design-Build Design-Bid-Build Delivery/Task Order (IDIQ) Other (explain):

If Design-Build, identify the Lead Design Firm: _____________________________________________

7. Customer/Owner Name:

Point of Contact (POC): POC Phone Number:

FAX Number: POC E-mail address:

8. Provide a detailed description of the project, the services provided, and the relevancy to the project requirements of this RFP:

9. Provide a detailed description of what work your firm self-performed on this project:

10. Other Information: