Attachment B - Corp Experience Form.docx
DOCX document 19 KB Posted
- Attached to
- Z2DZ--590-602 Renovate and Expand Domiciliary
- Solicitation number
- 36C24620R0104_1
About this file
This document contains a request for proposal for renovation and expansion of a domiciliary at the Hampton VA Medical Center located in Hampton, Virginia. The solicitation requests proposals for a construction project valued between $5 million and $10 million to renovate and expand the existing domiciliary. The solicitation is set aside exclusively for service-disabled veteran-owned small businesses and is being conducted by the Department of Veterans Affairs Veterans Health Administration VISN 6. Interested offerors must be registered in the Vendor Information Pages. A pre-proposal site visit will be held on August 18, 2020 and requests for information are due by August 21, 2020, with answers provided via amendment by August 28, 2020. Final proposals are due September 21, 2020. Offerors must submit details of relevant past projects using the Corporate Project Experience Form and provide pricing using the Proposal and Deductive Proposal Items attachments.
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ATTACHMENT B : CORPORATE PROJECT EXPERIENCE FORM
Please list your contracts in chronological order beginning with the most recent one. Offerors must provide a minimum of three (3) and a maximum of five (5) examples of their choice of completed projects or in progress of similar contracts in size and scope (commercial building remodel/renovation; minimum threshold value exceeding $500,000).
Contract #1
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status ___Ongoing ___Completed
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
RFP _________________
Contract #2
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
Contract #3
| 1. | Customer/Company Name |
| 2. Customer’s Address |
| 3. | Name and Title of Point of Contact |
| 4. | Point of Contact’s Email Address |
| 5. | Point of Contact’s Phone Number |
| 6. | Contract Value |
7. Contract Term (Month and Year)
From _______ through _______________
8. Contract Effective Date
9. Contract Status
10. Scope of Contract Requirements (Describe in details the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)
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