Attachment_0_-_Table_1.pdf

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

Attachment 0 Table 1 – Construction and Design Experience Form

Section 1 – Factor 1 – Specialized Experience

Response to Phase I Solicitation HHSI61-18-R-00017

Name of Offeror ________________________

NOTE: While this table format is not required, all information must be presented in the proposal that is listed in Table 1 below:

1. Project Title & Location (City, State [and Country if outside US])

2. Project Type (e.g., Medical facility, ten story building, etc.)

3. Dollar Value/Size of Construction Contract for the Designed Project

4. Construction Start & Completion Dates (Month/Year)

5. Role of Design Firm (e.g., Design-Bid-Build or Design-Build; Study, RFP, or 100% design, etc.)

(address type of work performed and percentage of design work performed, as applicable)

6. Brief Description of Project Designed (address how the project directly relates to solicited project)

7. Customer Point of Contact (i.e., name, relationship to project, agency/firm affiliation, city, state, current phone number, and email address if available

8. Awards or Recognition Received (if applicable)