B. ESD-RFI Template_Blank Form.pdf
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- Attached to
- Ft. Bliss Kitchenette Remodeling - BLDG 2447
- Solicitation number
- W911RX26BA006
About this file
This is a Request for Information (RFI) Report template used by the District of Columbia Department of Public Works (DPW) for documenting inquiries and proposed solutions related to federal contracts.
The form serves as a communication tool between contractors/stakeholders and the Contracting Officer's Representative (COR) to address questions or issues arising during contract performance. The template captures essential information including the contract title and number, RFI number, date, prime contractor name, and the requesting party. Contractors submit the specific SOW paragraph number, feature of work affected, and a detailed description of the problem or issue requiring clarification. The form requires contractors to identify the type of impact—whether the inquiry involves potential cost impact, schedule impact, other considerations, or no cost change—and to propose a solution with supporting rationale. A required response deadline must be established at the time of submission. The COR reviews the proposed solution and determines whether to accept, reject, or recommend modifications, with authority to request additional information if needed. The form includes sign-off sections for relevant stakeholders (Safety, NEC, Fire Department, Master Planning, Environmental) to indicate their acceptance of the proposed solution before the COR provides final authorization and signature. This template facilitates formal documentation and multi-departmental coordination on contract modification requests within the DPW procurement process.
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Text version
RFI No.
Date
Contract Title:
Contract No.
RFI Subject:
Prime Contractor: Requested by:
Feature of work
Date
Date
RFI requires answer no later than this date:
Contractor (stakeholder) Signature
COR Signature
Contractor (Stakeholder) Proposed Solution:
REQUEST FOR INFORMATION – REPORT (RFI)
Potentional cost Impact Schedule Impact Other No Cost change
Information Requested by Contractor (Stakeholder):
COR Accepts contractor proposed solution.
COR recommendation below
COR Rejects contractor proposed solution.
COR response to Contractor questions.
______________ Safety accepts proposed solution
______________ NEC accepts proposed solution
______________ Fire Department accepts proposed solution
______________ Master Planning accepts proposed solution
______________ Environmental accepts proposed solution
| Contract Title: |
| RFI No: |
| Contract No 1: |
| Contract No 2: |
| undefined: |
| Feature of work: |
| Date1_af_date: |
| Text3: Describe problem/Issue here |
| Text9: |
| Date10_af_date: |
| Date11_af_date: |
| Check Box16: Off |
| Check Box17: Off |
| Check Box18: Off |
| Date19_af_date: |
| Text1: |
| Text4: |
| Button5: |
| Dropdown1: [SOW Paragragh No.] |
| Text2: |
| Check Box2: Off |
| Text12: |
| Text13: Other accepts proposed solution |
| Text8: |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
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