Attachment B - Corp Experience Form.docx

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Attached to
Y1DZ--New Requirement: 652-19-108 Renovate 4A (VA-21-00045029)
Solicitation number
36C24621R0117
Issued by

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This document contains a corporate project experience form and details of a federal contract opportunity for renovations at a Department of Veterans Affairs medical facility. The corporate project experience form requests contractors provide a minimum of three and maximum of five examples of completed or in-progress construction projects over $1,000,000 involving medical facility renovations. For each project example, details such as customer name, contract value, dates, and scope of work are to be included.

The related federal contract opportunity is a presolicitation notice for renovations to Area 4A at a VA medical center in Richmond, Virginia with an estimated value between $5-10 million. The renovation scope involves complete site preparation including demolition and construction. The solicitation is anticipated as a total SDVOSB set-aside and will be issued on or around July 20, 2021 with proposals due approximately 30 days later. The notice provides points of contact for site visits and questions regarding the announcement.

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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 major construction and/or renovation of medical facility in-patient care areas, Improve Patient Privacy 4A 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.)

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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