EXHIBIT A - Project Information Sheet for Contractors.pdf
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- Solicitation number
- 36C24123R0112
About this file
This Project Information Sheet template requests details about previous relevant projects or contracts to be described in response to Factor 1 of solicitation 36C24123R0112 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1 for the water tank painting and repair opportunity valued over $150,000. The template seeks contract numbers, NAICS codes, titles, locations, points of contact, award amounts, completion dates, change orders issued and reasons for changes, any applicable OSHA citations, and major subcontractors used on past relevant projects or contracts in the specified format to demonstrate experience.
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Text version
EXHIBIT A: PROJECT INFORMATION SHEET FOR
CONTRACTORS
Provide the following information requested in this format for each of the projects/contracts being described in Factor 1.
OFFEROR (YOUR) NAME (COMPANY/DIVISION):
CONTRACT NO:
PROJECT NO:
NAICS:
PROJECT TITLE:
LOCATION:
CONTRACTING OFFICER/POC:
PHONE NO:
E-MAIL ADDRESS:
OWNER’S PROJECT MANAGER/POC:
PHONE NO:
E-MAIL ADDRESS:
TYPE OF CONTRACT (Negotiated, Design/Build):
AWARD AMOUNT: $ FINAL AMOUNT: $
AWARD DATE:
NOTICE TO PROCEED DATE:
ORIGINAL SCHEDULED COMPLETION DATE:
ACTUAL COMPLETION DATE:
NUMBER OF CHANGE ORDERS AND REASON FOR CHANGES:
OSHA CITATIONS (If Applicable):
LIST ALL MAJOR SUBCONTRACTORS (W/POC & Phone Numbers):
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