ATTACHMENT_D.docx

BIG MACC, Okinawa, Japan. N40084-13-R-2004

ATTACHMENT D

DESIGN EXPERIENCE PROJECT DATA SHEET

Project No. (check one) : |_| Project #1 |_| Project #2 |_| Project #3 |_| Project #4

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):

If the project is not complete, is it at least 80% complete: |_| Yes |_| No

5. Award Amount: (Overall contract/task order value) Final Price:

6. Type of work:

|_| New Construction |_| Renovation |_| Repair |_| Alteration

7. Type of Contract: (Check all that apply)

|_| Design/Build |_| Design-Bid-Build |_| Delivery/Task Order (IDIQ) |_| Other (explain):

If Design/Build, identify the Lead Design Firm:______________________________________________

8. Type of Contract: (Check all that apply)

|_| Firm-Fixed Price |_| Cost/Time and Material |_| Other (explain):

9. Customer/Owner Information:

Customer Name:

Point of Contact (POC): POC Phone Number:

FAX Number: E-mail address:

10. If this project was performed by a subsidiary, satellite office, parent company, or predecessor company, explain how this office will provide meaningful involvement in this project.

11.a. 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.

11.b. Was this project performed concurrently (overlapping performance period) with other projects? If so, briefly describe the nature and size of such other projects.

12. Provide a detailed description of what work your firm self-performed on this project:

13. Other Information:

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