N3319122R4011 Kosovo Attach 5 - Data Sheet.docx

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Attached to
D-B Renovate Zenel Hajdini and Skenderbeu Schools, Kosovo
Solicitation number
N3319122R4011
Issued by

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This document contains an attachment template for a design and construction experience project data sheet related to solicitation N3319122R4011 to renovate Zenel Hajdini and Skenderbeu Schools in Kosovo. Offerors are to provide details on up to five relevant past project experiences, including the firm name, point of contact, work performed as prime contractor or subcontractor, contract details, type of work, type of contract, construction or design project details as relevant, description of the project and its relevancy to RFP requirements, and description of work self-performed by the firm. Relevant experience may include new construction, renovation, repair, alteration or design-build projects. The Navy is seeking these details to evaluate offerors' experience for the school renovation project.

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ATTACHMENT 5

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:

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