Attachment_05_Experience_Information_Sheet_11_October_2019.pdf
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- Attached to
- WPAFB 2020-2025 Multiple Award Construction Contract Federal contract opportunity
- Solicitation number
- FA860119RA043
About this file
This document contains an experience information sheet and details of a related federal contract opportunity. The experience information sheet is a template for contractors to provide past project experience details including location, completion date, final cost, percentage complete, client information, and description of construction work performed. The related federal contract opportunity is a solicitation for a Multiple Award Construction Contract at Wright-Patterson Air Force Base from 2020 to 2025. It is an Indefinite-Delivery Indefinite-Quantity contract for various maintenance, repair, alteration, and new construction work through individual task orders. Work may include new building construction, renovation, infrastructure projects, utilities, specialty construction, and hazardous waste removal. The Air Force intends to award up to twelve contracts to form a pool of contractors eligible to compete for task orders, which will be evaluated based on individual solicitation terms.
Attachment 05 (11 Oct 19)
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Text version
RESPONSE TO SOLICITATION NUMBER: FA8601-19-R-A043
EXPERIENCE INFORMATION SHEET
PROJECT NO. _____, Page 1 Project Name and Location:
Experience:
1. The location that work was performed: ___________________________________
2. The day, month, and year work was completed; work must be ongoing or completed within the past five (5) years:
3. The final cost of this project, must be greater than US $500,000.00: US_________________________
4. Is this project more than 50% complete? ____ Yes ____ No
6. Provide the name, e-mail address, and phone number of the client you performed this work for.
Name:
E-mail:
Phone:
5. Provide detailed information of the construction work performed for the project listed.
FA8601-19-R-A043
Section J, Attachment 05
Experience Information Sheet
** May include an additional page if room is not sufficient to provide adequate project information answer.
RESPONSE TO SOLICITATION NUMBER: FA8601-19-R-A043
EXPERIENCE INFORMATION SHEET
PROJECT NO. _____, Page 2
Offeror: A contractor and/or company submitting a proposal for this solicitation.
Prime Contractor: A contractor that performed at least 15% of the work, and managed all other work for the project.
Joint Venture: More than one contractor with a legally binding agreement to work together.
6. Mark one of these selections:
Work was completed as the ____ Prime ___ Joint Venture
a. No additional information is required for work performed as the Prime other than what is on Page 1 of this form.
b. If work was as a Joint Venture, explain the relationship of the company, which company performed the work, and how the work performed and the relationship provides an added benefit for experience.
FA8601-19-R-A043
Section J, Attachment 05
Experience Information Sheet
| EXPERIENCE INFORMATION SHEET PROJECT NO Page 1: |
| undefined: |
| Project Name and Location: |
| 1 The location that work was performed: |
| 2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 1: |
| 2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 2: |
| 3 The final cost of this project must be greater than US 50000000 US: |
| 4 Is this project more than 50 complete: |
| Yes: |
| Experience 1 The location that work was performed 2 The day month and year work was completed work must be ongoing or completed within the past five 5 years 3 The final cost of this project must be greater than US 50000000 US 4 Is this project more than 50 complete Yes No 6 Provide the name email address and phone number of the client you performed this work for Name Email Phone 5 Provide detailed information of the construction work performed for the project listed May include an additional page if room is not sufficient to provide adequate project information answerRow1: |
| Page 2: |
| Offeror A contractor andor company submitting a proposal for this solicitation Prime Contractor A contractor that performed at least 20 of the work and managed all other work for the project Joint Venture More than one contractor with a legally binding agreement to work together 6 Mark one of these selections Work was completed as the Prime Joint Venture a No additional information is required for work performed as the Prime other than what is on Page 1 of this form b If work was as a Joint Venture explain the relationship of the company which company performed the work and how the work performed and the relationship provides an added benefit for experience: |
| Text1: |
| Prime: |
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