N3319120R4013 Attach 4 - Data Sheet.docx

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Attached to
D-B Construct Additional Floor in Hematology Clinic, Skopje, North Macedonia
Solicitation number
N3319120R4013
Issued by

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This document contains an attachment for a design and construction experience project data sheet related to solicitation N3319120R4013 to construct an additional floor in a hematology clinic in Skopje, North Macedonia for the Department of the Navy Naval Facilities Engineering Command. The data sheet requests information on up to five relevant past projects, including the firm name, address, point of contact, percentage of work self-performed, contract details, type of work, award and completion dates, construction or design costs, contract type, description of the project and relevancy to requirements, description of work self-performed, and any other pertinent information. Firms must demonstrate experience on projects of similar size, scope, and complexity for the Navy to properly evaluate the offeror's qualifications for this design-build project.

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ATTACHMENT 4

DESIGN & CONSTRUCTION EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : |_| #1 |_| #2 |_| #3 |_| #4 |_| #5

1. Experience for: |_| Offeror |_| Joint-Venture |_| Other (Explain)

Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

2. Work Performed as: |_| Prime Contractor |_| Sub Contractor |_| Joint Venture |_| Other (Explain)

Percent of project work performed:

If subcontractor, who was prime (Name/Phone #):

3. Contract Number: Delivery/Task Order Number:

Title:

Location:

4. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

5. Type of work:

|_| New Construction |_| Renovation |_| Repair |_| Alteration |_| Other (explain):

6. Type of Contract/Task Order: (Check ALL that apply)

|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):

Complete Block 7 for Construction Projects. Complete Block 8 for Design Projects.

7. Construction Project:

Award Amount: Final Price:

Type of Contract/Task Order: (Check ALL that apply)

|_| Design-Build |_| Design-Bid-Build |_| Delivery/Task Order (IDIQ) |_| Other (explain):

If Design-Build, identify the Lead Design Firm:______________________________________________

8. Design Project:

A/E Design Fee: Total Construction Value:

Type of Contract/Task Order: (Check ALL that apply)

|_| Design-Build |_| RFP Development |_| Designer of Record |_| Engineering Services |_| Full Plans & Specs

|_| Other (explain):

9. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (i.e.: unique features, square footage, construction methods), including any sustainable features or USGBC LEED certifications. If design-build, include a description of the design-effort.

10. Provide a detailed description of what work your firm self-performed on this project:

11. Other Information:

File details come from the government source that posted it. Updated .