Attachment A - Construction _ Design Experience Project Data Sheet.docx

DOCX document 26 KB Posted

Attached to
Z1DA--FY25 VISN 21 Multiple Award Construction Contract (MACC)
Solicitation number
36C26124R0035
Issued by

About this file

This is a Construction Project Data Sheet template (Attachment A) used to collect detailed information about an offeror's past construction and design experience. The template is associated with solicitation 36C26124R0035, a Multiple Award Construction Contract (MACC) for the Veterans Integrated Service Network (VISN) 21.

The data sheet requires offerors to provide comprehensive project details including company information, contract specifics (type, value, period of performance), project descriptions, completion dates, and customer points of contact. It specifically asks for information about construction projects involving new construction, renovation, repair, or alteration work, with specific sections for design-build projects. The template allows offerors to document up to five different construction projects (CON #1 through CON #5) and requires information about CPARS availability, original and final pricing, schedule changes, and unique technical aspects of each project.

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Text version

ATTACHMENT A

CONSTRUCTION PROJECT DATA SHEET

Provide the information requested in this form for each contract/program being described. Comments shall be honest and concise regarding your performance on the contracts you identify. Each contract/program submitted must be provide on its own separate form.

Project No. (Check one): ☐ CON #1 ☐ CON #2 ☐ CON #3 ☐ CON #4 ☐ CON #5

A.Offeror Name (Company Division):
CAGE Code:
SAM UEI Number:

(NOTE: If the company or division performing this effort is different than the offeror or the relevance of this effort to the instant acquisition is impacted by any company/corporate organizational change, note those changes. Refer to the “Organizational Structure Change History” you provide as part of your Past Performance Volume.)

B.Program Title:

C. Contract Specifics:

1.Contracting Agency or Customer:
2.Contract Number (include order number if applicable:
3.Contract Type (FFP, Cost, etc):
4.Period of Performance:
5.Original Contract $ Value:
6.Current Contract $ Value:

7. If Amounts for 5 and 6 above are different, provide a brief description of the reason:

8. Type of Contract/Task Order (Check ALL that apply)

☐ Firm-Fixed Price ☐ Cost/Time and Material ☐ Other (explain):

9. Type of Work:

☐ New Construction ☐ Renovation ☐ Repair ☐ Alteration ☐ Other (explain):

D.Brief Description of Contract.
Effort was performed as☐Primeor☐Subcontractor

Provide a detailed description of the project.

Provide a detailed description of what work your firm self-performed on this project and highlight portions considered most relevant to current acquisition. If design-build, include a description of the design effort. Include the percent of project work performed. If subcontractor, who was prime (Name/Phone #)?

E. Are there Contractor Performance Assessment Reports (CPARS) available for this contract?

☐Yes ☐No

F. Completion Date

1.Original Date:
2.Current Schedule:
3.Estimate at Completion:
4.How many times changed:

5. Reason for change:

G. Construction Project

1. Award Amount: _____________________

2. Final Price: ________________________

3. Type of Contract/Task Order (Check ALL that apply)

☐ Design-Build ☐ Design-Bid-Build ☐ Delivery/Task Order (IDIQ) ☐ Other (explain):

4. If Design-Build, identify the Lead Design Firm: ___________________________________________

H. Primary Customer Points of Contact: Primary Customer Points of Contact (POC): [Identified POCs should be individuals most knowledgeable about your performance, i.e., contracting officers, technical representatives, program manager, or the commercial equivalent of these individuals. Please identify a minimum of 2 POCs for each contract. IAW the solicitation, questionnaires should be sent to these same individual(s).]

1.
Name:
Office:
Address:
Telephone:
Fax Number:
E-mail:
2.
Name:
Office:
Address:
Telephone:
Fax Number:
E-mail:

J. Address any technical (or other) area about this contract/program considered unique.

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