Attachment_J-7_Project_Information_Sheet.pdf

PROJECT INFORMATION SHEET

Name of Offeror:

Provide information for relevant CONSTRUCTION and DESIGN‐BUILD projects to be used for PAST

PERFORMANCE evaluation purposes. For each project, provide the following information (use additional sheets as necessary, but no more than 2 pages per project):

a. Type of project (Check One):

___ Construction Only ___ Design‐Build

b. Contract or Task Order Number/Project Title:

c. Location/Site (Include Country, Prefecture, and City where the project was constructed):

d. Name of Company/Firm Involved in this project (if other than the Offeror or if Offeror is a Joint

Venture):

e. Nature of Involvement in this project, i.e. Prime Contractor:

f. Contract Value:

Original Contract Price: ___________

Modifications (number of and total cost of all mods):

Design ______________ Total Cost: ___________

Construction _________ Total Cost: ___________

Final Contract Price: __________

Reason for Modification(s):

g. General Scope of Project:

h. Identify key work disciplines your company/firm employed on this project:

i. Period of Performance:

Design (Fill out for Design‐Build only)

Design performance period (Original): _____________

Start (design) Date: ________________

Design Completion Date: ________________

Construction (Fill out for Construction and Design‐Build)

Construction performance period (Original): _____________

Start Date of Construction: _______________

Date of Physical Completion / Final Acceptance: _____________

Provide an explanation for any delays (Design or Construction) that were encountered on this project.

Provide two Points of Contact for Client/Agency (if client is the U.S. Government, provide name and address of contracting office, contract number, name and telephone number of Contracting Officer):

(1)

Name: ______________________________________________________________

Telephone No.________________________ Fax No.________________________

E‐mail: _____________________________________________________________

Address: ____________________________________________________________

(2)

Name: ______________________________________________________________

Telephone No.________________________ Fax No.________________________

E‐mail: _____________________________________________________________

Address: ____________________________________________________________

j. Extent and Type of Work Subcontracted: