ATTACHMENT 2 - TECHNICAL INFORMATION FORM.doc

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Attached to
Western Region Pavement Preservation MATOC
Solicitation number
69056723R000001
Issued by

About this file

This document contains a technical information form template for offerors to provide details on recent and relevant experience for a multiple award task order contract (MATOC) solicitation from the Department of Transportation Federal Highway Administration. The form requests information on up to eight past projects including company and contract details, construction elements performed such as asphalt pavement crack sealing and filling or chip seal of at least 20 lane miles. Offerors must also describe whether projects included operational elements like multiple work shifts, shortened four month work seasons, or work within specified windows to minimize impacts. The solicitation number provided is 69056723R000001 for the Western Region Pavement Preservation MATOC opportunity. Awards will be made as indefinite delivery indefinite quantity contracts for pavement preservation and related construction services as task orders are issued.

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ATTACHMENT 2 - TECHNICAL INFORMATION FORM.docx DOCX document

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Recent and Relevant Experience

Directions: Project: Complete a copy of this form for at least 4 but no more than 8 projects to satisfy all Factor 1 criteria. If any information below is unknown leave blank.

Company Information

Company Name:

Project Information

Project Name

Contract Number

Project Location

Owner/Agency

Owner/Agency Point-of-Contact:

Contact Phone & E-mail address

Contract Information for this project

Contract Award Date:

Contract Start Date:

Original Completion Date:

Final Completion Date:

Contract award amount:
$
Final contract amount:
$

ATTACHMENT 2 – TECHNICAL INFORMATION FORM

Recent and Relevant Experience Form

Source Selection (when completed, this page is considered source selection information; see FAR 2.101 & 3.104) Forms Western Region Pavement Preservation MATOC

This project satisfies which of the Factor 1 criteria (select all that apply)

Construction Elements

☐ (1) Asphalt Pavement Crack Sealing and Filling ☐ (2) Asphalt Concrete Pavement Repair ☐ (3) Chip Seal – 20 Lane Miles or 250,000 Square Yards Minimum ☐ (4) Micro Surfacing – 5 Lane Miles or 5,000 Square Yards Minimum ☐ (5) Temporary Traffic Control ☐ (6) Permanent Pavement Markings ☐ (7) Protection or preservation of cultural resources such as: historic features or sites; or archeological sites;

Operational Elements

☐ (1) Multiple shifts including night work ☐ (2) Shortened, four month or less, work seasons ☐ (3) Performance of surfacing (or other) activities within specified work windows less than 2 weeks to minimize operational impacts to owner agency and/or general public ☐ (4) Multiple work zones on roadways with over 5,000 vehicles Average Daily Traffic, with delay restrictions

Narrative that describes the project in sufficient detail to support the Construction and Operational Elements that were selected above.

File details come from the government source that posted it. Updated .