Attachment_A_-_Experience_on_Similar_Projects.pdf

Attachment A 7 004

Federal Building Little Rock U.S. General Services Administration

If your company has worked on a minimum of three successful relevant projects (similar in size and scope) in the past five years, please complete this form for each project. Make additional copies as necessary and complete one form for each project (Min. = 3; Max. = 5).

1. COMPANY NAME 2. REFERENCE NO. OF

3. CONTRACT STATUS CURRENT COMPLETED

4. CONTRACT TYPE GOVERNMENT NON-GOVERNMENT

5. TYPE OF CONTRACT

(e.g., Firm Fixed Price, Design-Build)

6. COMPANY’S ROLE PRIME CONTRACTOR SUBCONTRACTOR

7. CONTRACT NO. (If Fed. Gov’t. Contract)

8. CUSTOMER (Name of Company or Agency)

9. NAME OF 1st CONTACT PERSON

9A. ROLE IN PROJECT

9B. PHONE NO.

10. NAME OF 2nd CONTACT PERSON

10A. ROLE IN PROJECT

10B. PHONE NO.

11. TYPE OF FACILITY

12. SIZE OF PROJECT (Approx. GSF)

13. VALUE OF THE PROJECT

14. IS THE PROJECT SIMILAR IN SIZE AND SCOPE TO OUR PROJECT?

YES NO (If ’No’, explain in Item 17 below)

15. WAS THE PROJECT COMPLETED IN THE PAST FIVE YEARS?

YES NO (If ’No’, explain in Item 20 below)

15A. START DATE

15B. COMPLETION DATE

15C. NUMBER OF DAYS

16. IF THIS IS A CURRENT PROJECT, IS IT AT LEAST 90% COMPLETE?

YES NO (If ’No’, explain in Item 20 below)

16A. START DATE

16B. ESTIMATED COMPLETION DATE

16C. ESTIMATED PERCENT COMPLETE

7 004

Federal Building Little Rock

Company Name

Reference No. of

17. DESCRIPTION OF PROJECT AND COMPLEXITY

18. LIST ELEMENTS OF THE PROJECT THAT WERE SUBCONTRACTED

19. LIST PROBLEMS ENCOUNTERED AND DESCRIBE CORRECTIVE ACTIONS TAKEN

20. ADDITIONAL INFORMATION

If more space is needed, attach additional pages.

THIS IS THE END OF THE ATTACHMENT