Attachment_6_-_Reference_List.pdf

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GAOA - EMDD FOG SEAL
Solicitation number
140L3622Q0001
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Solicitation No: 140L3622Q0001 PROJECT DESCRIPTION: EMDD Fog Seal (May 2022)

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: 140L3622Q0001 PROJECT DESCRIPTION: EMDD Fog Seal (May 2022)

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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