Attachment_4_-_Reference_List.pdf
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- Attached to
- GAOA - CROOKED CREEK ROAD REPAIR PHASE I
- Solicitation number
- 140L3621R0007
About this file
This document contains a reference list template for a federal solicitation seeking road repair services. The Department of Interior Bureau of Land Management (BLM) Montana State Office is soliciting proposals to repair 2.6 miles of Crooked Creek Road located approximately 30 miles southeast of Bridger, Montana. Work includes reestablishing the road typical section and grade, establishing roadside ditches, providing soil moisture control, furnishing and spreading crushed aggregate base course, and removing and replacing culverts. The estimated price range for the acquisition is $250,000 to $500,000. Proposals are due on September 13, 2021 and award is anticipated on September 23, 2021. The contractor must begin work within 10 days of notice to proceed and complete the work within 125 calendar days. The solicitation was issued on August 12, 2021 under the total small business set-aside program with a NAICS code of 237310 and size standard of $39.5 million. The selection method is lowest price technically acceptable and payment will be made through the Invoice Processing Platform.
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Text version
Solicitation No: 140L3621R0007 PROJECT DESCRIPTION: GAOA - Crooked Creek Road Repair Phase I
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: 140L3621R0007 PROJECT DESCRIPTION: GAOA - Crooked Creek Road Repair Phase I
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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