ESD-RFI Template.pdf

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Attached to
Fort Bliss B2903 Kitchenette (Amendment 3)
Solicitation number
W911RX-26-B-A004
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About this file

This document is a Request for Information (RFI) Report template used by the District of Columbia Department of Public Works (DPW) for managing contractor inquiries during contract execution.

The form serves as a standardized tool for contractors or stakeholders to submit questions or proposed solutions regarding specific elements of their Statement of Work (SOW). Contractors must identify the relevant SOW paragraph number, describe the problem or issue, and propose a solution while indicating the potential impact category: cost impact, schedule impact, other, or no cost change. The RFI requires a response by a specified deadline date and must be signed by both the contractor/stakeholder and the Contracting Officer's Representative (COR). The form includes checkboxes for acceptance or rejection of the proposed solution by multiple stakeholder groups including Safety, NEC, Fire Department, Master Planning, and Environmental departments. The COR must indicate whether they accept the proposed solution, provide a recommendation, reject the solution, or provide a response to contractor questions, with final authorization through COR signature and date. This template facilitates formal documentation and multi-departmental review of contractor requests during contract performance.

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Text version

RFI No.

Date

Contract Title:

Contract No.

RFI Subject:

Prime Contractor: Requested by:

Feature of work

Date

Date

RFI requires answer no later than this date:

Contractor (stakeholder) Signature

COR Signature

Contractor (Stakeholder) Proposed Solution:

REQUEST FOR INFORMATION – REPORT (RFI)

Potentional cost Impact Schedule Impact Other No Cost change

Information Requested by Contractor (Stakeholder):

COR Accepts contractor proposed solution.

COR recommendation below

COR Rejects contractor proposed solution.

COR response to Contractor questions.

______________ Safety accepts proposed solution

______________ NEC accepts proposed solution

______________ Fire Department accepts proposed solution

______________ Master Planning accepts proposed solution

______________ Environmental accepts proposed solution

Contract Title:
RFI No:
Contract No 1:
Contract No 2:
undefined:
Feature of work:
Date1_af_date:
Text3: Describe problem/Issue here
Text9:
Date10_af_date:
Date11_af_date:
Check Box16: Off
Check Box17: Off
Check Box18: Off
Date19_af_date:
Text1:
Text4:
Button5:
Dropdown1: [SOW Paragragh No.]
Text2:
Check Box2: Off
Text12:
Text13: Other accepts proposed solution
Text8:
Check Box3: Off
Check Box4: Off
Check Box5: Off
Check Box6: Off

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