Attachment_C_Construction_Experience_Proj_form.doc
DOC document 85 KB Posted
- Solicitation number
- N4008018R0003
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| Amendment_0009.pdf | ||
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| Amendment_0007.pdf | ||
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| RFI-371_Attachment.pdf | ||
| RFI-370_Attachment.pdf | ||
| Amendment_0004.pdf | ||
| Amendment_0005.pdf | ||
| Amendment_0003.pdf | ||
| H-21_RFI_21_Drawing.pdf | ||
| H-21_Pre-Proposal_Conference-Site_Visit_Roster.pdf | ||
| Amendment_0002.pdf | ||
| Attachment_E_SB_Subcontracting_Plan.docx | DOCX document | |
| P3021_H-21_AMENDMENT_0001_PHASE_II_RFP.pdf | ||
| Attachment_F_Small_business_Participation_breakdown.docx | DOCX document | |
| Attachment_G_Small_Business_Subcontracting_Record.docx | DOCX document | |
| 18R0003_P3021_HANGAR_21_SF1442.pdf | ||
| Attachment_D-NAVFAC_Past_Performance_Questionnaire.docx | DOCX document | |
| N4008018R0003_P3021_Hanger_21_Pre-Solicitation_Notice.pdf |
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Text version
N40080-18-R-0003 - ATTACHMENT C
CONSTRUCTION EXPERIENCE PROJECT DATA SHEET
Project No. (check one) : FORMCHECKBOX
CON #1 FORMCHECKBOX
CON #2 FORMCHECKBOX
CON #3 FORMCHECKBOX
CON #4 FORMCHECKBOX
CON #5
1. Experience for: FORMCHECKBOX Offeror FORMCHECKBOX Joint-Venture FORMCHECKBOX Other (Explain) Firm Name:
Address:
Phone Number:
DUNS Number:
Point of Contact: Contact Phone Number:
2. Work Performed as: FORMCHECKBOX Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX Joint Venture FORMCHECKBOX 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:
FORMCHECKBOX
New Construction FORMCHECKBOX Renovation FORMCHECKBOX Repair FORMCHECKBOX Alteration FORMCHECKBOX Other (explain):
6. Type of Contract/Task Order: (Check ALL that apply)
Firm-Fixed Price FORMCHECKBOX Cost/Time and Material FORMCHECKBOX
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)
FORMCHECKBOX
Design-Build FORMCHECKBOX Design-Bid-Build FORMCHECKBOX Delivery/Task Order (IDIQ) FORMCHECKBOX
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)
FORMCHECKBOX
Design-Build FORMCHECKBOX RFP Development FORMCHECKBOX Designer of Record FORMCHECKBOX Engineering Services FORMCHECKBOX Full Plans & Specs
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:
PAGE
Attachment C (10-02-12)
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