Attachment_4_-_Reference_List.pdf
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- COTTONWOOD ROAD CULVERTS, MONTANA
- Solicitation number
- 140L3622R0009
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Solicitation No: 140L3622R0009 PROJECT DESCRIPTION: Cottonwood Road Reconstruction
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: ______________________________________________
Solicitation No: 140L3622R0009 PROJECT DESCRIPTION: Cottonwood Road Reconstruction
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: ______________________________________________
| REFERENCE LIST |
| CONTRACTOR NAME: ____________________________________________________________________ |
| Prime Contractor |
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