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Sheet1
| RFP 36C26121R0066 | FACTOR # 1: PRIME CONTRACTOR PROJECT EXPERIENCE |
| Remodel Emergency Department for Observation Beds | |
State Prime Contractor Name:
For EACH Prime Contractor Project Experience listed, provide sufficient detail so that VA can evaluate your proposal.
| PROJECT # 1 | Provide response here |
| Project Title: | |
| Contract / Task Order # (if applicable): | |
| Project Description (provide size, scope and complexity): | |
| Any Project Challenges? If so, explain how you overcame them: | |
| Project Location (or mailing address): | |
| Awarded Contract/Task Order Price: | |
| Final Contract/Task Order Price (reason for modifications): | |
| Awarded Performance Period (include start/end dates): | |
| Final Performance Period (final end date and reason for extension): | |
| Type of Contract (specify federal, state, private sector, other): | |
| Project Manager (incl. name, phone and email): | |
| Project Superintendent (incl. name, phone, email): | |
| Project Owner/End-User (include name, phone and email): | |
| PROJECT # 2 | Provide response here |
| Project Title: | |
| Contract / Task Order # (if applicable): | |
| Project Description (provide size, scope and complexity): | |
| Any Project Challenges? If so, explain how you overcame them: | |
| Project Location (or mailing address): | |
| Awarded Contract/Task Order Price: | |
| Final Contract/Task Order Price (reason for modifications): | |
| Awarded Performance Period (include start/end dates): | |
| Final Performance Period (final end date and reason for extension): | |
| Type of Contract (specify federal, state, private sector, other): | |
| Project Manager (incl. name, phone and email): | |
| Project Superintendent (incl. name, phone, email): | |
| Project Owner/End-User (include name, phone and email): | |
| PROJECT # 3 | Provide response here |
| Project Title: | |
| Contract / Task Order # (if applicable): | |
| Project Description (provide size, scope and complexity): | |
| Any Project Challenges? If so, explain how you overcame them: | |
| Project Location (or mailing address): | |
| Awarded Contract/Task Order Price: | |
| Final Contract/Task Order Price (reason for modifications): | |
| Awarded Performance Period (include start/end dates): | |
| Final Performance Period (final end date and reason for extension): | |
| Type of Contract (specify federal, state, private sector, other): | |
| Project Manager (incl. name, phone and email): | |
| Project Superintendent (incl. name, phone, email): | |
| Project Owner/End-User (include name, phone and email): | |
| PROJECT # 4 | Provide response here |
| Project Title: | |
| Contract / Task Order # (if applicable): | |
| Project Description (provide size, scope and complexity): | |
| Any Project Challenges? If so, explain how you overcame them: | |
| Project Location (or mailing address): | |
| Awarded Contract/Task Order Price: | |
| Final Contract/Task Order Price (reason for modifications): | |
| Awarded Performance Period (include start/end dates): | |
| Final Performance Period (final end date and reason for extension): | |
| Type of Contract (specify federal, state, private sector, other): | |
| Project Manager (incl. name, phone and email): | |
| Project Superintendent (incl. name, phone, email): | |
| Project Owner/End-User (include name, phone and email): | |
| PROJECT # 5 | Provide response here |
| Project Title: | |
| Contract / Task Order # (if applicable): | |
| Project Description (provide size, scope and complexity): | |
| Any Project Challenges? If so, explain how you overcame them: | |
| Project Location (or mailing address): | |
| Awarded Contract/Task Order Price: | |
| Final Contract/Task Order Price (reason for modifications): | |
| Awarded Performance Period (include start/end dates): | |
| Final Performance Period (final end date and reason for extension): | |
| Type of Contract (specify federal, state, private sector, other): | |
| Project Manager (incl. name, phone and email): | |
| Project Superintendent (incl. name, phone, email): | |
| Project Owner/End-User (include name, phone and email): | |
| PROJECT # 6 | Provide response here |
| Project Title: | |
| Contract / Task Order # (if applicable): | |
| Project Description (provide size, scope and complexity): | |
| Any Project Challenges? If so, explain how you overcame them: | |
| Project Location (or mailing address): | |
| Awarded Contract/Task Order Price: | |
| Final Contract/Task Order Price (reason for modifications): | |
| Awarded Performance Period (include start/end dates): | |
| Final Performance Period (final end date and reason for extension): | |
| Type of Contract (specify federal, state, private sector, other): | |
| Project Manager (incl. name, phone and email): | |
| Project Superintendent (incl. name, phone, email): | |
| Project Owner/End-User (include name, phone and email): | |
