B08 Solicitation 140A1621R0001_Section J_Attachment 2_Construction and Design Experience Project Data Sheet.docx

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BIA Northwest Region Construction Multiple Award T
Solicitation number
140A1621R0001
Issued by

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This document contains a template for contractors to provide construction and design experience project data to support a solicitation for the Bureau of Indian Affairs Northwest Region Construction Multiple Award Task Order Contract. The template requests details on contractor information, work performed as either a prime contractor, subcontractor, or joint venture, contract information including number, type, title, location, award and completion dates, original and final contract prices, and an explanation of any differences or relevance to the current solicitation. Contractors will use this template to demonstrate their qualifications for future task orders for construction services from the Bureau of Indian Affairs Central Office in the Northwest Region. The solicitation number for the Multiple Award Task Order Contract is 140A1621R0001.

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Solicitation no. 140A1621RXXXX, Construction Multiple Award Task Order Contract Section J, Attachment 2

Attachment 2 Construction & Design Experience Project Data Sheet

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information
Firm Name:CAGE Code:
Address:DUNs Number:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain) Percent of project work performed:

If subcontractor, who was the prime (Name/Phone #):

3. Contract Information Contract Number:

Delivery/Task Order Number (if applicable):

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

4. Project Description:

Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)

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