B08 Solicitation 140A1621R0002_Section J_Attachment 2_Construction and Design Experience Project Data Sheet.docx

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Bureau of Indian Affairs (BIA) Navajo Region Const
Solicitation number
140A1621R0002
Issued by

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This document contains a template for a Construction and Design Experience Project Data Sheet. The template requests information from contractors such as firm name, CAGE code, DUNs number, address, point of contact, and contract details including number, type, title, location, award and completion dates, original and final prices. It relates to solicitation number 140A1621R0002 from the Bureau of Indian Affairs Navajo Region for a Construction Multiple Award Task Order Contract to provide unspecified construction services. Award dates, response due dates, and other pertinent procurement details are not provided in this template.

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Solicitation no. 140A1621R0002, 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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