Attachment_4_-_Reference_List.pdf
PDF 116 KB Posted
- Solicitation number
- 140L3623R0006
About this file
This reference list template requests prior experience information from prospective contractors for a federal solicitation seeking chip sealing and site improvement construction services. Contractors must provide details for up to five similar past projects including location, description of work performed, original and final contract amounts, completion dates, percentages of work performed by the prime and any subcontractors, references, and issues encountered with resolutions. The solicitation number is 140L3623R0006 and is issued by the Bureau of Land Management, Montana State Office to chip seal 6.2 miles of asphalt roadway, resurface day use areas, perform linear grading along 4.9 miles of roadway, and delineate a parking area in Missoula County, Montana in accordance with provided drawings and specifications.
View the file
Other files
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation No: 140L3623R0006 PROJECT DESCRIPTION: McNamara/Johnsrud Roads, Chip Sealing and Site Improvements (GAOA)
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: 140L3623R0006 PROJECT DESCRIPTION: McNamara/Johnsrud Roads, Chip Sealing and Site Improvements (GAOA)
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 |
File details come from the government source that posted it. Updated .