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
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 |
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