B08_Attachment_7_Contractor_Experience_Form.doc

DOC document 104 KB Posted

Attached to
East Potomac Maintenance Yard Fuel Station Rehabil
Solicitation number
140P3022R0016
Issued by

About this file

This document is a contractor experience form required for the solicitation to rehabilitate the fuel station at the East Potomac Maintenance Yard. Offerors must complete the form to provide details on three prior relevant projects, including project descriptions, contract amounts, dates, clients, and outcomes. Sections address whether the firm served as a prime contractor or subcontractor, if there were any contract modifications or time extensions, and if projects were completed on schedule. Offerors must also disclose any past disputes or defaults. The solicitation is being conducted by the National Park Service National Office within the Department of the Interior for rehabilitating the fuel station at the East Potomac Maintenance Yard, located in the National Capital Region - National Mall and Memorial Parks area.

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Text version

PROJECT EXPERIENCE FORM

REQUIRED DOCUMENT: 140P3022R0016

Offerors must complete this form for evaluation purposes

NAME OF FIRM
POINT OF CONTACT

TELEPHONE NO.

EMAIL ADDRESS

PRIOR PROJECT EXPERIENCE

(TO BE COMPLETED BY THE OFFEROR)

PROJECT DESCRIPTION

(USE BLANK PAGE IF NECESSARY)

CONTRACT/PROJECT NO.
LOCATION
CONTRACT AMOUNT (ROUND TO NEAREST DOLLAR)
ORIGINAL
FINAL

1.

$
$

2.

$
$

3.

$
$
NAME OF CLIENT/AGENCY (correlates w/ above project descriptions)
POINT OF CONTACT
TELEPHONE NO.
EMAIL ADDRESS

1.

2.

3.

ORIGINAL PROJECT DATES
WERE YOU A PRIME CONTRACTOR OR SUBCONTRACTOR?
WERE THERE CONTRACT MODIFICATIONS? (YES/NO)
HOW MANY?
WHO INITIATED THEM? CLIENT, CONTRACTOR OR BOTH?
START
COMPLETION

1.

2.

3.

WERE THERE ANY TIME EXTENSIONS? (YES/NO)
IF SO, INDICATE NEW COMPLETION DATE?
WAS THE SCHEDULE MET?

(YES/NO)

IF NOT, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

1.

2.

3.

HAVE YOU EVER ENTERED A DISPUTE? (YES/NO)
IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

HAVE YOU EVER

BEEN DEFAULTED?

(YES/NO)

IF SO, WHAT WAS THE REASON?

(USE BLANK PAGE IF NECESSARY)

1.

2.

3.

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