ATTACHMENT_J.1.docx

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NATIONAL MULTIPLE AWARD CONSTRUCTION CONTRACT (NMACC)
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HSCG47-16-R-3EFK01
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Revised Attachment J.1 SAMPLE Experience Information Form

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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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