Attachment_4_-_Reference_List.pdf

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GAOA BIG HOLE RECREATION SITE RENOVATIONS, MONTANA
Solicitation number
140L3622R0003
Issued by

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This solicitation requests proposals for construction services to renovate two Bureau of Land Management recreation sites in Montana. Work includes rerouting and constructing an entrance road, building a new parking area and boat ramps, and other site improvements. The total small business set-aside contract value is estimated between $500,000 and $1,000,000. Proposals are due on June 16th, with award anticipated on July 16th. The contractor must commence work within 10 days of notice to proceed and complete the project within 102 calendar days. Christine Mundt of the BLM Montana State Office should be contacted for more information. Payment requests must be submitted electronically through the Invoice Processing Platform, though waivers may be requested.

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Solicitation No: 140L3622R0003 PROJECT DESCRIPTION: Big Hole Recreation Site Renovations (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: 140L3622R0003 PROJECT DESCRIPTION: Big Hole Recreation Site Renovations (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

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