Attachment B - Corp Experience Form.docx

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Attached to
Z2DA--590-15-007 Repair Moisture Integrity of Bldg. Envelope 110/110A (VA-21-00003315)
Solicitation number
36C24621R0020
Issued by

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This document includes an attachment requesting corporate project experience and a presolicitation notice for repair work. The attachment requests offerors to provide a minimum of three and maximum of five examples of completed or in-progress structural concrete repair construction projects in hospitals exceeding $750,000. It requires contact and project details. The presolicitation notice is for the Department of Veterans Affairs seeking offers to repair, insulate, seal and waterproof exterior walls and roofs of buildings 110/110A at its Hampton, Virginia center for an estimated $2-5 million under NAICS code 238190. The solicitation is anticipated to be a total SDVOSB set-aside and will be issued on or around November 30, 2020 with proposals due approximately 30 days later. Site visits will be detailed in the solicitation. Interested parties should check the website periodically for amendments and ensure SAM and VetBiz registration is current and active for award eligibility.

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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 (Projects where the principle objective was structural concrete repair construction in hospitals within the United States, with a total contract value exceeding $750,000).

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 36C24621R0027_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

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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