N3319123R4007 Renovate Infectious Disease Clinic Attach 5 - Data Sheet.pdf

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Attached to
Design-Build Renovation Infectious Disease Clinic, Skopje, North Macedonia
Solicitation number
N3319123R4007
Issued by

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This document contains an attachment to a solicitation for a design-build renovation project. The Navy is seeking proposals to renovate an infectious disease clinic in Skopje, North Macedonia under solicitation number N3319123R4007. Offerors must complete an experience data sheet detailing their past experience on up to five relevant construction or design projects as a prime contractor, subcontractor, or joint venture. Required information includes contract details, award and completion dates, project descriptions, types of work performed, and sustainable or LEED certifications. Offerors must also describe the specific work their firm performed on each project. Proposals are due under the solicitation by the unspecified date. The selected offeror will be awarded a firm-fixed price contract to complete the clinic renovation, incorporating infectious disease requirements.

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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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