ATTACHMENT A Construction and Design Experience Project Data Sheet.doc
DOC document 86 KB Posted
- Attached to
- 8(a) Small Business Multiple Award Construction Contract Federal contract opportunity
- Solicitation number
- N4008019R0001
About this file
This document contains a template for offerors to submit details of prior design and construction experience on federal contracts. The template requests information on the offeror's name and address, point of contact, DUNS number, role on the project as either prime contractor or subcontractor, contract details including number, award and completion dates, type of work performed, type of contract, construction or design project details as applicable, description of work performed, and any other relevant information. The related federal contract opportunity is a solicitation from the Naval Facilities Engineering Command for an 8(a) Multiple Award Construction Contract for new construction, repairs and renovations at facilities in Washington, Maryland and Virginia.
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Text version
DESIGN & CONSTRUCTION EXPERIENCE PROJECT DATA SHEET
Project No. (check one) : FORMCHECKBOX
DES #1 FORMCHECKBOX
DES #2 FORMCHECKBOX
DES #3 FORMCHECKBOX
DES #4 FORMCHECKBOX
DES #5
FORMCHECKBOX
CON #1 FORMCHECKBOX
CON #2 FORMCHECKBOX
CON #3 FORMCHECKBOX
CON #4 FORMCHECKBOX
CON #5
1. Experience for: FORMCHECKBOX Offeror FORMCHECKBOX Joint-Venture FORMCHECKBOX Other (Explain) Firm Name:
Address:
Phone Number:
DUNS Number:
Point of Contact: Contact Phone Number:
2. Work Performed as: FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX Joint Venture FORMCHECKBOX Other (Explain) Percent of project work performed:
If subcontractor, who was prime (Name/Phone #):
3. Contract Number: Delivery/Task Order Number:
Title:
Location:
4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):
5. Type of work:
FORMCHECKBOX
New Construction FORMCHECKBOX Renovation FORMCHECKBOX Repair FORMCHECKBOX Alteration FORMCHECKBOX Other (explain):
6. Type of Contract/Task Order: (Check ALL that apply)
Firm-Fixed Price FORMCHECKBOX Cost/Time and Material FORMCHECKBOX
Complete Block 7 for Construction Projects. Complete Block 8 for Design Projects.
7. Construction Project:
Award Amount: Final Price:
Type of Contract/Task Order: (Check ALL that apply)
FORMCHECKBOX
Design-Build FORMCHECKBOX Design-Bid-Build FORMCHECKBOX Delivery/Task Order (IDIQ) FORMCHECKBOX
If Design-Build, identify the Lead Design Firm:______________________________________________
8. Design Project:
A/E Design Fee: Total Construction Value:
Type of Contract/Task Order: (Check ALL that apply)
FORMCHECKBOX
Design-Build FORMCHECKBOX RFP Development FORMCHECKBOX Designer of Record FORMCHECKBOX Engineering Services FORMCHECKBOX Full Plans & Specs
9. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (i.e.: unique features, square footage, construction methods), including any sustainable features or USGBC LEED certifications. If design-build, include a description of the design-effort.
10. Provide a detailed description of what work your firm self-performed on this project:
11. Other Information:
PAGE
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