ATTACHMENT A - Construction Experience Project Data Sheet.doc
DOC document 86 KB Posted
- Attached to
- P152 AIR TRAFFIC CONTROL TOWER DESIGN BID BUILD
- Solicitation number
- N4008021R7290
About this file
This document contains a Construction Experience Project Data Sheet template to be completed by offerors responding to Solicitation Number N4008021R7290 for the construction of a new Air Traffic Control Tower at Webster Outlying Field for the Department of the Navy Naval Facilities Engineering Command. Offerors must provide details on up to five past construction projects they have worked on as a prime contractor, subcontractor, joint venture or other capacity. For each project, they must include the contract number, award and completion dates, type of work performed, contract type, construction values, sustainable or LEED certifications, and descriptions of the project scope and relevancy as well as the work performed by their firm.
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Text version
CONSTRUCTION EXPERIENCE PROJECT DATA SHEET
Project No. (check one) : 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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