Attachment B - Corp Experience Form.docx
DOCX document 19 KB Posted
- Attached to
- Z2DA--590-19-106 Bathroom Upgrades Federal contract opportunity
- Solicitation number
- 36C24621R0018
About this file
This document contains a corporate experience form template and details of a federal contract opportunity for bathroom upgrades at a Veterans Affairs medical center. The corporate experience form requests contractors provide references for up to five past or current projects exceeding $1 million involving multi-phase construction, alterations, architectural work, interior finishes, and mechanical and electrical work in hospitals. The federal contract opportunity is a total SDVOSB set-aside between $2-5 million to provide labor, materials, and associated work for bathroom upgrades throughout the facility in Hampton, Virginia per drawings and specifications. The solicitation number is 36C24621R0018 and questions must be emailed to the point of contact by the specified response date. The work is for the Department of Veterans Affairs Veterans Health Administration VISN 6.
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Text version
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 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 $1,000,000).
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 36C24621R0018_2
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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