B. ESD-RFI Template_Blank Form.pdf

PDF 2 MB Posted

Attached to
Ft. Bliss Kitchenette Remodeling - BLDG 2447
Solicitation number
W911RX26BA006
Issued by

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.

View the file

Other files

Show all 18

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

File details come from the government source that posted it. Updated .