Project Information Form.docx

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Attached to
IDIQ AE Multi-Discipline Design & Engineering Services (Large Projects) for Hampton Roads, AOR Federal contract opportunity
Solicitation number
N4008521R0275
Issued by
Department of the Navy Naval Facilities Engineering Command

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Project Matrix Form.xlsx XLSX spreadsheet
Contractor Information Form.docx DOCX document

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SOURCES SOUGHT – CONSTRUCTION EXPERIENCE PROJECT DATA FORM

For N4008521R0275 Indefinite Delivery/Indefinite Quantity (IDIQ) Multiple-Discipline Engineering & Design Services for Large Projects in the NAVFAC Mid-Atlantic Area of Responsibility (AOR), Located Primarily in Hampton Roads AOR

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to five (5) projects. Please limit response to two pages per project.

1.
Contractor Name:
2.
Project No. (check one):
|_| - 1|_| - 2|_| - 3|_| - 4|_| - 5
3.
Contract Number:
Delivery/Task Order No.:
Project Number:
Title:
Location:
4.
Award Date (mm/dd/yy):
5.
Final Contract Price:
$
Completion Date (mm/dd/yy):
(includes all options and mods)
Project is % complete (as of submission due date)
This is the |_| total project |_| subcontract price.
6.
Type of work:
|_| New Construction|_| Repair|_| Renovation
7.
Customer/Owner Name:
Point of Contact Name/Title: (person with project knowledge)
POC Phone Number:
POC Email Address:
8.
Were you the Prime contractor for this project?
|_| Yes|_| No
Were you a subcontractor for this project?
|_| Yes|_| No
If subcontractor, who was the Prime contractor?
9.
Type of Contract (check all that apply):

|_| Design-Build |_| Design-Bid-Build (fully designed project)

|_| Other (explain):
If Design-Build, provide the following information:
|_| Design accomplished in-house
Lead design firm name:
Years working together:
Address:

10. Provide a detailed description of the project:

11. Percentage of work you self-performed on this project: %.

Provide a detailed description of the work your firm self-performed on this project:

Form may be expanded. Please DO NOT change content of the form.

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