Attachment B - Experience - Offeror.pdf

Attachment “B” – Project Experience - Offeror, Page 1 of 2 (Rev 12/14)

ATTACHMENT “B”

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET – OFFEROR

This form is to be completed by the Offeror. Submit (one per project) in order to provide supporting project information for Factor 2, Experience. Only projects that are within the project description parameters of the solicitation will be considered relevant. Submit up to 5 projects. All other projects will not be considered. Do not exceed two (2) pages per project.

Project No. (check one): - 1 - 2 - 3 - 4 - 5 Contractor:

1. Offeror Name:

Firm who performed the work:

Performed this work as: Prime Contractor Subcontractor Joint Venture Other (explain):

If subcontractor, name of prime: Phone #:

If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror:

Joint Venture Partner Partner Subsidiary Parent Company

Affiliate Predecessor Company Other:

Explain how this firm will have meaningful involvement in the performance of the contract:

Note: The firm who performed the work of this project must be named on Exhibit “A” and fully described as a team member who will have meaningful involvement in performance of the relevant work of this contract. If the Offeror fails to demonstrate the firm’s meaningful involvement in the performance of this contract, the project will not be considered relevant and will not be evaluated.

Construction Contract:

2. Contract/Project No.: Delivery/Task Order Number:

Title:

Location:

3. Award Date (mm/dd/yy): Award Amount: $

Completion Date (mm/dd/yy): Final Price: $

This is the: total project subcontract price Note: If firm is indicated as a subcontractor in Block 1, provide the price of the subcontract.

4. Type of Contract: Design-Build. If D-B, design firm was:

(check one) Design-Bid-Build

Customer:

5. Name:

Point of Contact Name/Title:

POC Phone Number: POC Email Address:

Project Description:

Attachment “B” – Project Experience - Offeror, Page 2 of 2 (Rev 12/14)

6. Type of Work (check all that apply): New Construction Renovation/Repair

7. Provide a detailed description of the project and the relevancy to the project requirements of this RFP.

8. If project is design-build, provide a description of the design effort:

9. Percentage of work your firm self-performed (see definition): % Provide a detailed description of the relevant work your firm self-performed on this project. Note: do not include project administration or management functions (such as quality control or safety program) or miscellaneous work (such as housekeeping or cleanup).

10. Describe in detail any applicable sustainable features incorporated in this project.

Note: Form may be expanded to maximum of 2 pages.