Attachment 8 - DPW-RFI Template_Blank Form V.1.2.pdf

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Roof Repair- Fort Bliss, T. X.
Solicitation number
W911RX-26-B-A003
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About this file

This is a Request for Information (RFI) Report template used by the District of Columbia Department of Public Works (DPW) for federal contract administration purposes.

The form serves as a standardized document for contractors or stakeholders to request clarification or propose solutions regarding contract-related issues. Key sections include fields for contract identification (Contract Title, Contract Number, RFI Number, and Date), identification of the information requester, and detailed description of the problem or issue linked to a specific Statement of Work (SOW) paragraph and feature of work. Contractors must identify the potential impact of their inquiry, selecting among cost impact, schedule impact, other impacts, or no cost change. The form requires contractors to submit proposed solutions and establish a deadline for the Contracting Officer's Representative (COR) response. The COR evaluation section includes checkboxes for acceptance or rejection of the proposed solution, recommendations, and responses to contractor questions. The form also requires sign-off from multiple stakeholders including Safety, the Fire Department, NEC (National Electrical Code or similar oversight body), Master Planning, and Environmental departments before final COR approval or rejection. Both contractor and COR signatures with dates are required to execute the RFI process.

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Text version

RFI No.

Date

Contract Title:

Contract No.

RFI Subject:

Prime Contractor: Requested by:

Feature of work

Date

Date

RFI requires answer no later than this date:

Contractor (stakeholder) Signature

COR Signature

Contractor (Stakeholder) Proposed Solution:

REQUEST FOR INFORMATION – REPORT (RFI)

Potentional cost Impact Schedule Impact Other No Cost change

Information Requested by Contractor (Stakeholder):

COR Accepts contractor proposed solution.

COR recommendation below

COR Rejects contractor proposed solution.

COR response to Contractor questions.

______________ Safety accepts proposed solution

______________ NEC accepts proposed solution

______________ Fire Department accepts proposed solution

______________ Master Planning accepts proposed solution

______________ Environmental accepts proposed solution

Contract Title:
RFI No:
Contract No 1:
Contract No 2:
undefined:
Feature of work:
Date1_af_date:
Text3: Describe problem/Issue here
Text9:
Date10_af_date:
Date11_af_date:
Check Box16: Off
Check Box17: Off
Check Box18: Off
Date19_af_date:
Text1:
Text4:
Button5:
Dropdown1: [SOW Paragragh No.]
Text2:
Check Box2: Off
Text12:
Text13: Other accepts proposed solution
Text8:
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off

File details come from the government source that posted it. Updated .