FORM A Experience Questionnaire.docx

FORM A: OFFEROR'S BACKGROUND TECHNICAL QUALIFICATION DATA

1. FIRM NAME:

FIRM ADDRESS:

FIRM (MAIN) TELEPHONE NUMBER: DATE:

AUTHORIZED OFFICIAL: TITLE:

OFFICIAL TELEPHONE NUMBERS: (with any extension number as applicable)

Land Line Mobile

E-MAIL:

2. Provide a short narrative describing the firm's location and facilities.

3. Describe your firm's project management skills which are relevant to this project.

MINIMUM REQUIREMENT: Must have at least one (1) individual assigned to the proposed project who has had five (5) years of project management experience on renovation/restoration projects. Provide his/her name with a list of three (3) projects for which he/she performed the project management. For each project provide the project name, address, date, and the name and telephone number of the client contact most familiar with your project manager's performance on the project.

FORM A: OFFEROR'S BACKGROUND

4. Describe in your own words how you will proceed through the contract requirements to complete the project.

MINIMUM REQUREMENT: Must have a plan that addresses the project schedule. In addition, the proposed procedures must be able to be accomplished without damaging surrounding materials.

FORM A - GOVERNMENT REVIEW

(OFFEROR / CONTRACTOR - DO NOT WRITE IN THIS SPACE)

Bldg.____________________________ Project____________________________ Review No._____________ Facilities: ___Adequate ___Not adequate Submit:______________________________________________ Project Mgmt: ___Adequate ___Not adequate Submit:__________________________________________ Proposed Approach: ___Approved _____Not approved because_____________________________________