Attachment_4_-_Reference_List.pdf
PDF 211 KB Posted
- Attached to
- 2026 MARCOTT COULEE PIPELINE
- Solicitation number
- 140L3626R0002
About this file
This document is a Reference List form required for solicitation 140L3626R0002 for the Marcott Coulee Pipeline project. Contractors must provide no more than three examples of Federal, State, local government, or commercial projects completed within the last five years that demonstrate similar scope, complexity, and magnitude to the work required under this solicitation. Projects must clearly demonstrate the contractor's ability to accomplish work in a timely and satisfactory manner. If subcontractors will perform major components of work, all requested information must be provided for each proposed subcontractor.
For each project reference, contractors must submit: project name and location; description of work; prime contractor and subcontractor identification; percentage of work performed by prime and subcontractors; original and actual completion dates; initial and final contract amounts; name, address, and phone number of a point of contact; and problems encountered with corrective actions taken. Contractors must indicate whether they are submitting as a prime contractor or subcontractor, and if submitting as a subcontractor, identify the prime contractor. The form provides three identical project entry sections for completion.
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Text version
Solicitation No: 140L3626R0002 PROJECT DESCRIPTION: Marcott Coulee Pipeline
REFERENCE LIST
The contractor shall furnish a list (no more than three) 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: 140L3626R0002 PROJECT DESCRIPTION: Marcott Coulee Pipeline
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: ________________________________________________
| REFERENCE LIST |
| CONTRACTOR NAME: _____________________________________________________________________ |
| Prime Contractor |
| CONT RACT OR NAM E: |
| Pri m e Con tracto r: Off |
| Subcontractor: Off |
| 1 Nam e and Location of Proj ect: |
| Prime Contractor: |
| Subcontractors: |
| Percentage of Work Performed by Prime: |
| of Work Performed by Subcontractors: |
| 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 Nam e and Location of Proj ect: |
| Prime Contractor_2: |
| Subcontractors_2: |
| Percentage of Work Performed by Prime_2: |
| of Work Performed by Subcontractors_2: |
| Original Completion Date_2: |
| Actual Completion Date_2: |
| Initial Contract Amount_2: |
| Final Contract Amount_2: |
| Name Address and Phone Number of Point of Contact_2: |
| Problems Encountered and Corrective Actions Taken_2: |
| 1: |
| 3 Name and Location of Project: |
| Prime Contractor_3: |
| Subcontractors_3: |
| Percentage of Work Performed by Prime_3: |
| of Work Performed by Subcontractors_3: |
| Original Completion Date_3: |
| Actual Completion Date_3: |
| Initial Contract Amount_3: |
| Final Contract Amount_3: |
| Name Address and Phone Number of Point of Contact 1: |
| Name Address and Phone Number of Point of Contact 2: |
| Problems Encountered and Corrective Actions Taken 1: |
| Problems Encountered and Corrective Actions Taken 2: |
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