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Attachment “C”
CONSTRUCTION EXPERIENCE FORM – OFFEROR
SOLICITATION #N40080-18-R-0007
This form is to be completed by the Offeror. Use this form (one per project) to provide supporting project information for Factor 1, Construction Experience. Only projects that fit within the project description parameters of the solicitation will be evaluated. Submit a maximum of three (3) projects. All other projects will not be considered.
| 2. | | |
| Project No. (check one): | | |
| |_| - 1 | |_|- 2 | |_| - 3 |
3. New Building Construction :
Interior Building Renovation :
Exterior Building Renovation :
| 4. |
| Design Build (DB) : |
| |_| |
Design Bid Build (DBB):
| 6. |
| Contract Number: |
| Delivery/Task Order Number: |
| 7. |
| Award Date (mm/dd/yy): |
| 8. |
| Award Amount: $ |
| Completion Date (mm/dd/yy): |
| Final Contract Price: $ |
| Project is 100% complete? | |
| |_| Yes | |_| No |
| (including all options) | |
| If no, project is % complete (on proposal due date) |
| This is the |_| total project |_| subcontract price. |
| Point of Contact Name/Title: (person with project knowledge) |
| POC Phone Number: |
| POC Email Address: |
| 7. |
| Name of Firm who performed the Work: |
| This firm performed the work as the (check one): | |
| |_| Prime Contractor | |_| Subcontractor |
| If the firm was a subcontractor on this project, provide the name of the prime contractor: |
| If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror: |
| |_| Affiliate |
|_| Subsidiary |_| Predecessor Company |_| Satellite Office |_| Parent Company |_| Other:
| 8. Project category/ies: |
| |_|Gov’t/Military |_|Commercial |_|Industrial |_|Residential |_|Other: |
9. If this project was performed by an affiliate, subsidiary, satellite office, parent company, LLC, LTD, or predecessor company, explain how this entity will participate in this contract.
10. Provide a brief description of the project including relevant project features :
