ATTACHMENT 2 - TECHNICAL INFORMATION FORM.docx
DOCX document 30 KB Posted
- Attached to
- Western Region Pavement Preservation MATOC
- Solicitation number
- 69056723R000001
About this file
This document contains a template for a technical information form to be completed for recent and relevant experience on pavement preservation projects. The form requests company and project details including contract numbers, locations, owners, award and completion dates, values, and construction or operational elements involved. It relates to solicitation number 69056723R000001 from the Department of Transportation Federal Highway Administration for a Western Region Pavement Preservation Multiple Award Task Order Contract. Respondents must complete the form for 4 to 8 relevant pavement projects demonstrating experience with asphalt crack sealing, repair, chip sealing, microsurfacing, temporary traffic control, pavement markings, and protecting cultural resources, as well as capabilities like multiple shifts, short work seasons, and maintaining traffic during surfacing activities.
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Other files
| File | Type | Posted |
|---|---|---|
| QA_08-28-2023.pdf | ||
| Amendment A002.pdf | ||
| QA_08-21-2023.pdf | ||
| Amendment A001_WRPP.pdf | ||
| QA_07-31-2023.pdf | ||
| ATTACHMENT 1 MASTER SUBCONTRACTING PLAN.doc | DOC document | |
| RFP_WRPP.pdf | ||
| ATTACHMENT 2 - TECHNICAL INFORMATION FORM.doc | DOC 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 .