ATTACHMENT 5 CONSTRUCTION EXPERIENCE FORM.docx
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- Solicitation number
- 12445221Q0021
- Issued by
-
Department of Agriculture Forest Service
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Construction Experience Form Experience For: (Firm Name)
Construction Project Information:
Construction Project Title:
Contract / Project Number:
Location:
Award Date:
Completion Date:
Award Amount:
Final Amount:
Owner (Agency):
Point of Contact for Owner (Reference):
Phone:
Email:
TO BE COMPLETED BY THE OWNER:
| Relevance Criteria: |
| Was the firm identified above the prime contractor for a construction project involving replacement of an underground waterline. |
| Yes or No |
| Was the project completed in the last 5 years, and totaling at $50,000.00. |
| Yes or No |
| Rate the performance elements in accordance with the following rating scale. |
| Excellent |
Very Good Satisfactory Less than Satisfactory Not applicable
Please check the level of the firm’s overall performance for each of the performance elements:
| Performance Factor |
| 4 |
| 3 |
| 2 |
| 1 |
| 0 |
Quality of Deliverable (Met Specifications)
Identification/Correction of Deficient Work
Ability to meet the terms and conditions within the contractually agreed price(s)
Reasonableness of price change proposals submitted
Adherence to Approved Schedule
Timely submission of Required Documentation
Maintains an Adequate Work Force
Professional Conduct
Overall Contract Performance
| Given what you know today about the contractor’s ability to perform the work required, would you recommend the selection of this firm for similar requirements in the future? |
| Would |
| Would Not |
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