Attachment B - Corp Experience Form.docx

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Attached to
Z2DA--Upgrade Water Distribution Legionella Prevention Project # 590-18-103
Solicitation number
36C24621R0084
Issued by

About this file

This presolicitation notice provides details for an upcoming request for proposal for upgrade and modernization of domestic water distribution systems at the Hampton VA Medical Center in Virginia. The Department of Veterans Affairs will seek proposals to perform construction services including plumbing, mechanical, civil, and electrical work to improve drinking water infrastructure in four buildings on site. Offerors must be verified in the Vendor Information Pages database as a total service-disabled veteran-owned small business. Interested parties should monitor the Contract Opportunities website for issuance of the RFP on or around May 18, 2021, with a site visit scheduled for May 20. The period of performance is 730 calendar days from notice to proceed. COVID safety protocols and standard VA medical center security and health requirements will apply.

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Other files

File Type Posted
36C24621R0084 0002.docx DOCX document
CLC.pdf PDF
Bldg 137C Photos.pdf PDF
36C24621R0084 0001.docx DOCX document
Construction Safety Handbook.pdf PDF
Attachment C - Past Performance Questionnaire.docx DOCX document
Hampton VAMC - Upgrade Water Distribution - Bid Specifications.pdf PDF
36C24621R0084_1.docx DOCX document
Hampton VAMC - Upgrade Water Distribution - Bid Drawings 051721.pdf PDF
Attachment A - Base Proposal Item Price Breakdown.xlsx XLSX spreadsheet

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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) references of their choice of completed projects, similar in size and scope (minimum threshold: Projects where the principle objective was to upgrade and modernize water distribution systems, with a total contract value exceeding $1,000,000). In describing similar projects, 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.Please use the Corporate Experience Form (Solicitation Attachment B) included with the solicitation to provide the requested information for Experience.
g.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.

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 36C24621R0084_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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