Contractors Reference Form.pdf
PDF 77 KB Posted
- Solicitation number
- 36C10F20R0091
About this file
This document contains a reference form for federal contractors and information on an upcoming federal contract opportunity for construction services. The reference form requests details on previous projects for a contractor, including contract details, schedule, subcontractors, and descriptions.
The federal contract opportunity is for construction of a Central Utility Plant at the Dallas VA campus. The pre-proposal conference date has been postponed and will be announced in solicitation number 36C10F20R0091. Interested contractors should monitor the SAM.gov website for the forthcoming solicitation and any additional notices related to the pre-proposal conference date. The construction project is located at the Dallas VA North Texas Health Care System and is seeking an unrestricted contractor for the Central Utility Plant project numbered 549-820E and managed by the Department of Veterans Affairs Office of Construction and Facilities Management.
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Text version
GENERAL CONTRACTOR REFERENCE FORM
OFFEROR:_____________________________________________________________________
SOLICITATION NO._____________________________________________________________
CONTRACT NO.____________________PROJECT NO.__________________________________
PROJECT TITLE:_______________________________________________________________
LOCATION:____________________________________________________________________
CONTRACTING OFFICER/POC:_____________________________________________________
PHONE NO:________________________________________________________
EMAIL ADDRESS:___________________________________________________
OWNERS PROJECT MANAGER/POC___________________________________________________
PHONE NO:________________________________________________________
EMAIL ADDRESS:___________________________________________________
TYPE OF CONTRACT (Negotiated, Design/Build, Design/Bid/Build)
AWARD AMOUNT:________________________FINAL AMOUNT:___________________________
ORIGINAL SCHEDULED COMPLETION DATE:__________________________________________
ACTUAL COMPLETION DATE:______________________________________________________
OSHA CITATIONS (If Applicable)______________________________________________
LIST ALL MAJOR SUBCONTRACTORS (W/POC & Phone Numbers)
DESCRIPTION OF PROJECT
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