Attachment A - Past Peformance Reference - GS05P11SVD0042.doc

DOC document 48 KB Posted Oct 31, 2011

Attached to: Repair/Alteration/Construction IDIQ - State of MIchigan
Solicitation number: GS-05P-11-SV-D-0042
Issued by: General Services Administration Public Buildings Service Region 5

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Attachment A - Past Performance Reference Sheet - word format - GS-05P-11-SV-D-0042

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Repair, Alteration and Construction IDIQ

GS05P11SVD0042

Various Locations State of Michigan

PAST PERFORMANCE REFERENCE

ATTACHMENT A

Note: In accordance with the instructions contained in the paragraph entitled Past Performance of Offeror, the offeror shall complete this form and submit as part of their proposal. Make additional copies as necessary and complete one form for each reference. Please number each sheet (e.g. 1 of 3, 2 of 3) based on the number of references that you are submitting (minimum of 3, no more than 5).

1. OFFEROR (COMPANY NAME)

2. REFERENCE NO.

3. CONTRACT STATUS AND TYPE

FORMCHECKBOX

CURRENT

FORMCHECKBOX

gOVERNMENT

FORMCHECKBOX

NON-GOVERNMENT

4. PROJECT NAME AND LOCATION (BUILDING, CITY, STATE)

5. CONTRACT NUMBER (IF FEDERAL GOVERNMENT CONTRACT)

6. CUSTOMER (COMPANY NAME OR GOVERNMENT AGENCY)

7. CONTACT PERSON (NAME AND TITLE)

8. CONTACT PHONE NUMBER

9. TYPE OF FACILITY (office building, courthouse, hospital, school, etc.)

10. SIZE OF PROJECT (SQUARE FOOTAGE)

11. IS THE PROJECT FOR OR SIMILAR TO REPAIR AND CONSTRUCTION DEMONSTRATING MULTIPLE DISCIPLINES OF WORK?

FORMCHECKBOX

YES

12. IF COMPLETED PROJECT – COMPLETED ON TIME?

YES

FORMCHECKBOX

No (If No, explain on back)

12A. START DATE

12B. COMPLETION DATE (not more than 5 years from solicitation close date)

12C. NUMBER OF DAYS

13A. IF CURRENT PROJECT – ON SCHEDULE?

FORMCHECKBOX

YES

FORMCHECKBOX

No (If No, explain on back)

13B. START DATE

13C. ESTIMATED COMPLETION DATE

13D. PERCENT COMPLETED (No less than 90%)

14. DESCRIPTION OF PROJECT AND COMPLEXITY

15. LIST WHICH ELEMENTS OF THE PROJECT WERE SUBCONTRACTED

16. PROBLEMS ENCOUNTERED AND CORRECTIVE ACTIONS TAKEN

File details come from the government source that posted it. Updated Nov 14, 2017.