Attachment J - Corp Experience Form.docx

DOCX document 21 KB Posted

Attached to
Z2DZ--GI SPS Equipment Site Prep Federal contract opportunity
Solicitation number
36C24621R0087
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6

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This document contains a corporate experience form and solicitation for the Durham VA Medical Center project to renovate the Gastrointestinal Sterile Processing Section. Offerors must provide details for a minimum of three and maximum of five completed or in-progress commercial building renovation projects exceeding $500,000 on the corporate experience form. The solicitation, number 36C24621R0087, is for the site preparation phase of project 558-19-302 with an estimated construction value between $500,000 and $1,000,000. It will be a total SDVOSB set-aside with responses due approximately 30 days after issuance on June 1, 2021. Interested vendors should monitor the website for amendments and contact the point of contact via email only with any questions. SAM and VetBiz registration must be current and active to be eligible for award.

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Other files for this federal contract opportunity

Other files attached to Z2DZ--GI SPS Equipment Site Prep, newest first.
File Type Posted
36C24621R0087 0001.docx DOCX document
Attachment B - Drawing 19-181 General .pdf PDF
Attachment K - Past Performance Questionnaire.docx DOCX document
Attachment E - Drawing 19-181 Fire Suppression .pdf PDF
Attachment D - Drawing 19-181 Electrical .pdf PDF
36C24621R0087_1.docx DOCX document
36C24621R0087_1.pdf PDF
Attachment H - Wage Determination NC20210028 01_01_2021.pdf PDF
Attachment F - Drawing 19-181 Mechanical .pdf PDF
Attachment C - Drawing 19-181 Architectural .pdf PDF
Attachment I - Base Proposal Item Price Breakdown.xlsx XLSX spreadsheet
Attachment G - Drawing 19-181 Plumbing .pdf PDF
Attachment A - Combined Specs .pdf PDF
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ATTACHMENT J : CORPORATE EXPERIENCE FORM

For Project 558-19-302 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 (commercial building remodel/renovation; minimum threshold value exceeding $500,000).

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 36C24621R0087

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.)

Contract #4

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 #5

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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