Attachment B - Corp Experience Form.docx

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Attached to
Z2DA--Correct HVAC Deficiencies Bldg. 110A Project # 590-19-110 Hampton VA Medical Center Construction Services
Solicitation number
36C24622R0007_1
Issued by

About this file

This document contains an attachment requesting corporate project experience for a federal solicitation. The solicitation seeks construction services to correct HVAC deficiencies including architectural and MEP work in Building 110A at the Hampton VA Medical Center in Virginia. Offerors must provide details on a minimum of three and maximum of five recently completed or in-progress projects of similar size and scope involving multi-phase construction, alterations, interior finishes, lead remediation, and mechanical and electrical work in hospitals totaling over $800,000. For each project, details requested include the project name and location, owner information, offeror's role, prime contractor and subcontractor information, dates, costs, square footage, licenses held where required, and scope of work performed. The response form provides blocks for entering this information for up to three relevant projects.

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File Type Posted
Construction Safety Handbook.pdf PDF
36C24622R0007_1.docx DOCX document
100 pct Drawings.pdf PDF
Attachment A - Base Proposal Item Price Breakdown.xlsx XLSX spreadsheet

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ATTACHMENT B: CORPORATE PROJECT EXPERIENCE FORM

1. Please list your contracts in chronological order beginning with the most recent one. Offeror provides 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 (minimum threshold: Projects where the principal objective was multi-phase construction including alterations, architectural, interior finishes, lead remediation, mechanical and electrical work in hospitals within the United States, with a total contract value exceeding $800,000). In describing the multi-phase construction, provide the following information:

a. Project title, location and brief description of the project and contracting method (design build, design bid construct, CM at risk, Turnkey, etc.).

b. Project owner and name and telephone number of owner’s contact person.

c. Indicate your firm’s role as a prime contractor or subcontractor, etc.

d. Project Prime Contractor and Major Subcontractors and name and telephone number of contact person(s).

e. Project Statistics including start and completion dates (original vs. actual) for design and construction; cost (with brief explanation of what is included in the cost); square footage; and any awards (prizes) received.

f. Confirmation that the prime contractor and subcontractors are licensed for the work being performed in the state where the project is located, where specified, or otherwise in the state from which the contractor or subcontractor originates. Work requiring license in the State of Virginia includes all Contractors, HVAC, Plumbing, Electrical work, and Asbestos/lead Project Monitoring.

Utilize block 10 to provide information required by solicitation in details as well as to include any info. from a – f that will not be fulfilled through responses for block 1 – 9; attach separate sheet if additional space is needed.

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 detail the scope of works performed under this contract as indicated in the Solicitation documents. Attach separate sheet if additional space is needed.)

RFP 36C24622R0007_1

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 ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail 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 ___Ongoing ___Completed

10. Scope of Contract Requirements (Describe in detail 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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