Attachment_4_-_Reference_List.pdf
PDF 266 KB Posted
- Attached to
- GAOA FT MEADE ALKALI CREEK VENTED FORD
- Solicitation number
- 140L3623Q0034
About this file
This document is a reference list template for solicitation number 140L3623Q0016 related to depression dam maintenance work. Contractors are required to provide up to five references for similar federal, state, local, or commercial projects completed in the last five years demonstrating experience with projects of comparable scope, complexity, and magnitude. For each reference, contractors must include the name and location of the project, a description of the work performed, the prime contractor and any subcontractors involved, the original and actual completion dates, initial and final contract amounts, and contact information for a reference along with any problems encountered and corrective actions taken. The template also requires the contractor to identify whether they are submitting as a prime contractor or subcontractor and if submitting as a subcontractor to include the name of their prime contractor.
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Text version
Solicitation No: 140L3623Q0016 PROJECT DESCRIPTION: GAOA Depression Dam Maintenance
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: 140L3623Q0016 PROJECT DESCRIPTION: GAOA Depression Dam Maintenance
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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