Attachment 4 Project Data Sheet.pdf

FACILITIES SUPPORT CONTRACT (FSC) DATA SHEET

Project No. (check one) : FSC#1 FSC#2 FSC#3 FSC#4 FSC#5

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

Firm Name:

Address:

Phone Number:

DUNS 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: Project Performed in Japan Contract Type: Firm-Fixed Price Cost/Time and Material Other (Explain):

4. Contract performed for: U.S. Department of Defense Other U.S. Government Other (Explain):

5. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

6. Award Amount (for Firm’s work) (¥ and/or $):

Final Price (including all contract options) (for Firm’s work) (¥ and/or $):

7. Type of work performed (minimum 2 functional annexes required per project): (Check ALL that apply)

ANNEX 1401000 - FAMILY HOUSING (Check services performed) Service Orders Preventative Maintenance Program Change of Occupancy Maintenance Other (Explain):

ANNEX 1502000 - FACILITY INVESTMENT (Check services performed) Service Orders Interior Automatic Doors Auxiliary Generators Boilers and UPVs Fire Protection Systems

Fire Drill Pit Aircraft Hangar Doors Facility Weight Handling Equipment HVAC and Refrigeration Systems Lightning Arrestors and Grounding Devices Runway Rubber Removal, Striping, Sealant and Crack/Spall Repairs Solar Water Heating Systems School Facilities Locksmith Water Gates and Pumps Backflow Preventers Garbage Disposal Water Treatment System Photovoltaic Systems Uninterrupted Power Supply Systems Family Housing Dryer Vents Swimming Pools Exhaust Hoods and Ducts Vertical Transportation Equipment Other (Explain):

ANNEX 1503010 - CUSTODIAL (Check services performed) Space Cleaning Floor Cleaning Restroom Cleaning Restroom Cleaning Locker Room Cleaning Building Perimeter Services School Facility Cleaning Store Cleaning Other (Explain):

ANNEX 1503050 - GROUNDS MAINTENANCE AND LANDSCAPING (Check services performed) Service Orders Lawn Care Vegetation Control Debris Removal Grounds Care Shrub and Hedge

Maintenance Plant Bed Maintenance Tree Maintenance Underbrush Cleaning Tree Cutting Other (Explain):

ANNEX 1604000 - WASTEWATER (Check services performed) Operation and Maintenance Sewage Sump Pumps Wet Wells Sewage Treatment Plants Incinerator Plant

Industrial Wastewater Treatment Plant Incinerator Toilets Other (Explain):

ANNEX 1800000 - ENVIRONMENTAL (Check services performed) Waste Sampling and Laboratory Services Oil and Hazardous Substance Spill Services Other (Explain):

ATTACHMENT 4

8. Provide a detailed description of the self-performed work under the project and the relevancy to the requirements of this RFP, including details for each functional annex performed that highlights the firm’s depth and breadth of experience.

9. Describe how work was managed/coordinated across functional areas/requirements.