Attachment C - Construction and Design Experience Project Data Sheet.docx

ATTACHMENT C

CONSTRUCTION & DESIGN EXPERIENCE PROJECT DATA SHEET

Project No. (check one) |_| CON #1 |_| CON #2 |_| CON #3 |_| CON #4 |_| CON #5

|_| DESIGN #1 |_| DESIGN #2 |_| DESIGN #3 |_| DESIGN #4 |_| DESIGN #5

1. Experience for: |_| Offeror |_| Joint-Venture |_| Other (Explain)

Firm Name:

Address:

Phone Number:

UEI 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):

Design Completion Date (mm/dd/yy):

5. Type of work:

|_| New Construction |_| Renovation |_| Repair |_| Alteration |_| Other (explain):

6. Type of Contract/Task Order: (Check ALL that apply)

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

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

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) |_| Design-Build |_| RFP Development |_| Designer of Record |_| Engineering Services |_| Full Plans & Specs |_| Other (explain):

9. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (i.e. New construction/addition or repair/renovation, scope of each building system, unique features, square footage, delineation of new construction/addition and renovation values, and construction methods). 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