Attachment_4_-_140L3625R0003_Reference_List.pdf

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Attached to
GAOA RINGING ROCKS ROAD RENOVATION Federal contract opportunity
Solicitation number
140L3625R0003
Issued by
Department of the Interior Bureau of Land Management

About this file

The document is a Reference List form for a federal solicitation related to the GAOA Ringing Rocks Road Renovation project. The form requires contractors to provide detailed information about up to five previous Federal, State, local government, or commercial projects similar in scope, complexity, and magnitude to the current solicitation. For each project, contractors must document project name and location, work description, prime and subcontractor details, percentage of work performed, completion dates, contract amounts, point of contact information, and any problems encountered with corrective actions taken. This reference list is designed to demonstrate the contractor's capability to successfully complete projects in a timely and satisfactory manner, and is part of the proposal submission requirements for Solicitation No. 140L3625R0003 issued by the Department of the Interior Bureau of Land Management.

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Text version

Solicitation No: 140L3625R0003

PROJECT DESCRIPTION: GAOA RINGING ROCKS ROAD RENOVATION

REFERENCE LIST

The contractor shall furnish a list (no more than five) of Federal, State, local government or commercial projects similar in scope, complexity, and magnitude to the work required under this solicitation that the contractor has completed within the last five years. These projects must clearly demonstrate the contractor’s successful ability to accomplish projects in a timely and satisfactory manner. If an offeror intends to utilize subcontractors to perform any of the major components of work, all the requested information must be provided for each proposed subcontractor.

CONTRACTOR NAME: _____________________________________________________________________

Submitting Proposal as (select one) Prime Contractor Subcontractor

If submitting as Subcontractor, your prime contractor is

1. Name and Location of Project: ________________________________________________________________________________________

Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________

Subcontractor(s): _____________________________________________________________________________

Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______

Original Completion Date: _____________________ Actual Completion Date: ______________________

Initial Contract Amount: _______________________ Final Contract Amount: _______________________

Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

2. Name and Location of Project: ________________________________________________________________________________________

Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________

Subcontractor(s): _____________________________________________________________________________

Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______

Original Completion Date: _____________________ Actual Completion Date: ______________________

Initial Contract Amount: _______________________ Final Contract Amount: _______________________

Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

Solicitation No: 140L3625R0003

PROJECT DESCRIPTION: GAOA RINGING ROCKS ROAD RENOVATION

3. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

4. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

5. Name and Location of Project: ________________________________________________________________________________________ Description of Work: __________________________________________________________________________

Prime Contractor: _____________________________________________________________________________ Subcontractor(s): _____________________________________________________________________________ Percentage (%) of Work Performed by Prime: _________ % of Work Performed by Subcontractor(s): _______ Original Completion Date: _____________________ Actual Completion Date: ______________________ Initial Contract Amount: _______________________ Final Contract Amount: _______________________ Name, Address, and Phone Number of Point of Contact: ______________________________________________

Problems Encountered and Corrective Actions Taken: ________________________________________________

REFERENCE LIST
CONTRACTOR NAME: _____________________________________________________________________
Prime Contractor

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