Attachment_17_-_Project_Information_Sheet.pdf

FA5270-18-R-0014

Attachment 17

Project Information Sheet

PROJECT INFORMATION SHEET

Name of Offeror:

Provide information for relevant ASBESTOS AND LEAD BASED PAINT REMOVAL CONSTRUCTION-ONLY projects to be used for PAST PERFORMANCE evaluation purposes. For each projects, provide the following information (use additional sheets as necessary, but no more than 2 pages per project):

a. Type of project (check one):

Asbestos Removal project Lead Based Paint Removal project

b. Contract or Task Order Number/Project Title:

c. Location/Site (e.g. Misawa AB, Japan):

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 (e.g. Prime Contractor):

f. Contract Value:

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

Final Contract Price:

Reason for Modification(s):

g. General Scope of Project:

h. Identify key work disciplines your company/firm employed 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 (if applicable):