Attachment I - Construction Info Sheet.docx
DOCX document 39 KB Posted
- Solicitation number
- W912HV26BA018
About this file
This is a Construction Experience Information Sheet template used for prequalification evaluation in response to Solicitation W912HV26BA018 for Sollars Elementary School HVAC Upgrades at Misawa Air Base, Japan. The form requires contractors to submit detailed information on up to five completed construction projects demonstrating relevant experience, with joint venture agreements submitted separately outside the page limit.
The submission template requests comprehensive project documentation including company identification (SAM UEI and CAGE codes), contract details with original and final contract values, prime contractor information and roles performed, general project scope and description with explanation of how projects meet prequalification criteria, period of performance dates, and information on parent/subsidiary/affiliate involvement if applicable. Additionally, contractors must provide two points of contact from the client or government agency, including names, telephone numbers, email addresses, and mailing addresses. This prequalification process is conducted by the U.S. Army Corps of Engineers Japan District to identify qualified sources for the subsequent full solicitation of the HVAC upgrade project, valued between YEN2,500,000,000 and YEN10,000,000,000, which includes removal and replacement of HVAC systems across five buildings (80, 90, 92, 94, and 98), transformer upgrades, structural modifications, and associated site work at the Japanese military installation.
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| File | Type | Posted |
|---|---|---|
| Attachment I - Construction Info Sheet R1.docx | DOCX document | |
| Attachment II - PPQ.docx | DOCX document |
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Text version
ATTACHMENT I
CONSTRUCTION EXPERIENCE INFORMATION SHEET
SOLICITATION NO. W912HVXXXXXXX
Provide information for projects to be used for CONSTRUCTION EXPERIENCE prequalification evaluation purposes. For each project, provide the following information (use additional sheets as necessary) – Not to Exceed five (5) pages (JV Agreements do not count towards information sheet page limitation):
1. Name of Company: _________________________________________________________________
2. SAM UEI & CAGE Code of Company: __________________________________________________
3. Contract or Task Order Number & Project Title:
4. Location/Site (Include Country, Prefecture, and City where the project was constructed):
5. Contract Value:
Original Award Amount: __________________________________
Final Contract Value (including modifications, if applicable): __________________________
6. Name, SAM UEI / DUNS Number, & CAGE Code of Company/Firm Involved in this completed project as the prime contractor (if this project was performed by a Joint Venture (JV), also indicate all JV members and copy of joint venture agreement). (NOTE: JV Agreement not included in the 5 page information sheet page limitation).
7. Your Role (role of offeror on completed project; such as Prime Contractor, Subcontractor or Joint Venture member) and key work disciplines your company performed on this completed project:
8. General Scope of Project/Project Description. Explain how this project meets the prequalification criteria (5). If additional room is needed, attach a separate sheet:
8. Period of Performance:
Date Construction Began:
Date Physically Completed:
9. If this project was performed by the offeror’s parent/subsidiary/affiliate firm, describe the nature of the affiliation and describe how the parent/subsidiary/affiliate firm’s resources (workforce, management, facilities or other resources) will significantly contribute to the execution of this project.
10. Provide two Points of Contact for Client/Agency (if client is the U.S. Government, provide name and address of contracting office, contract number, name and telephone number of Contracting Officer):
(1) Name: ___________________________________________________________________ Telephone No.___________________________________________________________________ E-mail: _______________________________________________________________________ Address: ______________________________________________________________________
(2) Name: ___________________________________________________________________ Telephone No.___________________________________________________________________ E-mail: _______________________________________________________________________ Address: ______________________________________________________________________
File details come from the government source that posted it. Updated .