ATTACHMENT_J.1.docx

DOCX document 47 KB Posted

Attached to
NATIONAL MULTIPLE AWARD CONSTRUCTION CONTRACT (NMACC) Federal contract opportunity
Solicitation number
HSCG47-16-R-3EFK01
Issued by
Department of Homeland Security US Coast Guard

About this file

Revised Attachment J.1 SAMPLE Experience Information Form

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Text version

ATTACHMENT J.1 – EXPERIENCE INFORMATION FORM

PROJECT NO. (Check One): - 1 - 2 - 3 - 4 - 5

1)Name of Offeror:
2)Project Title:
3)Contract Number:4)Contract Amount: $
5)Contract Completion Date:6)Contract Duration:
7)Description of the Project’s Scope and Magnitude:
8)Location of Project:
9)Customer/Owner Information:
A)Name of Customer/Owner
B)Name of Point of Contact
C)Contact Phone Number
D)Contact Email Address
10)Type of work:
New ConstructionRenovationRepairAlteration
11)Type of Contract:
Design/BuildDesign-Bid-BuildOther (explain)

If Design/Build, what percentage of the total design was provided to you.

12) Describe any problems encountered with this project and corrective action taken.

13) List the Design disciplines required for the project. List the firm performing the design as well as a brief description of the major design components.

14) Describe involvement of the designers during the construction phase of the job.

15) List the major construction trades involved in the project. Also provide a brief description of jobs performed by each trade.

16) Attach any copies or photographs of industry awards/special recognitions, etc, received for this project. (Does not apply towards page count)

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