B08_Project_Experience_Form_(ATTACHMENT_2).docx

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Attached to
NACE 3801 S. CAPITAL ST EXTERIOR REPAIR
Solicitation number
140P3021R0021
Issued by

About this file

This Project Experience Form requests information from offerors for a solicitation to provide general construction services including roof replacement, repairs, and painting at the National Capital Parks-East site in Washington, DC. Offerors must provide details on up to five prior, similar projects including contract amounts, modifications, schedule performance, disputes and defaults. Relevant details include the solicitation number 140P3021R0021; services required such as replacement of slate roofs and repairs to porticos, atriums and window sashes; pricing in original and final contract amounts from $0 to over $5 million; schedule modifications and reasons for delays if applicable; and history of disputes and defaults. The form collects this experience data to evaluate offerors for the National Park Service contract awarded by the Department of the Interior.

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Text version

United States Department of the Interior

NATIONAL PARK SERVICE, INTERIOR REGION 1

NATIONAL CAPITAL AREA

1100 Ohio Drive, SW Washington, D.C. 20242

RFP NO. 140P3021R0021 Attachment 2

PROJECT EXPERIENCE FORM

(Offerors must complete this form for evaluation purposes, projects must be similar in size, scope, and complexity to the requirement as solicited for this RFP)

NAME OF OFFEROR
POINT OF CONTACT

TELEPHONE NO.

EMAIL ADDRESS

PRIOR PROJECT EXPERIENCE

(TO BE COMPLETED BY THE OFFEROR – LIST THREE (3) BUT NO MORE THAN FIVE (5) INDIVIDUAL PROJECTS)

PROJECT TITLE

CONTRACT/PROJECT NO.
PROJECT DESCRIPTION

(USE “ADDITIONAL DESCRIPTION” PAGE IF NECESSARY)

LOCATION
CONTRACT AMOUNT

(ROUND TO NEAREST DOLLAR)

ORIGINAL
FINAL

1.

$
$

2.

$
$

3.

$
$

4.

$
$

5.

$
$
NAME OF CLIENT/AGENCY
POINT OF CONTACT
TELEPHONE NO.
EMAIL ADDRESS

1.

2.

3.

4.

5.

PROJECT DATES

(ORIGINAL ONLY)

WERE THERE CONTRACT MODIFICATIONS? (YES/NO)
HOW MANY?
FINAL PROJECT MODIFICATION VALUE
WHO INITIATED THEM? CLIENT, CONTRACTOR OR BOTH?
START
COMPLETION

1.

2.

3.

4.

5.

WERE THERE TIME EXTENSIONS REQUIRED FOR MODS?

(YES/NO)

IF SO, HOW MANY?
FINAL MODIFIED DATE
WAS THE SCHEDULE MET?

(YES/NO)

IF SCHEDULE NOT MET, WHAT WAS THE REASON?

(USE “ADDITIONAL DESCRIPTION” PAGE IF NECESSARY)

1.

2.

3.

4.

5.

HAVE YOU EVER ENTERED A DISPUTE?

(YES/NO)

IF SO, WHAT WAS THE REASON?

(USE “ADDITIONAL DESCRIPTION” PAGE IF NECESSARY)

HAVE YOU EVER

BEEN DEFAULTED?

(YES/NO)

IF SO, WHAT WAS THE REASON?

(USE “ADDITIONAL DESCRIPTION” PAGE IF NECESSARY)

1.

2.

3.

4.

5.

ADDITIONAL DESCRIPTION PAGE

PROJECT DESCRIPTION

(ADDITIONAL SPACE)

1.

2.

3.

4.

5.

IF SCHEDULE NOT MET, WHAT WAS THE REASON?

1.

2.

3.

4.

5.

IF SO, WHAT WAS THE REASON? - DISPUTES

1.

2.

3.

4.

5.

IF SO, WHAT WAS THE REASON? - DEFAULT

1.

2.

3.

4.

5.

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