HEAVY HORIZ MACC - Exhibit B - Experience - Designer.docx
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- Attached to
- Heavy Horizontal and Civil II MACC
- Solicitation number
- N62473-13-R-3011
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Designer Experience
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Text version
EXHIBIT “B”
DESIGN EXPERIENCE PROJECT DATA SHEET – DESIGN FIRM
N62473-13-R-3011
This form is to be completed by the Design Firm. Submit (one per project) in order to provide supporting project information for Factor 2, Experience. Only projects that are within the project description parameters of the solicitation will be considered relevant. Submit up to 5 projects. All other projects will not be considered.
Project No. (check one): |_| - 1 |_| - 2 |_| - 3 |_| - 4 |_| - 5
Design Firm:
| 1. |
| Design Firm Name: |
| Firm who performed the work: |
| Performed this work as: | |
| |_| Lead Design Firm | |_| Consultant |
| |_| Other (explain): |
| If Consultant, name of Lead Design Firm: |
| Phone #: |
| Identify the design firm’s relationship to the Offeror: |
| |_| Joint Venture Member |
|_| Partner |_| Team Member |_| Subcontractor |_| Parent Company |_| Subsidiary |_| Satellite Office |_| Predecessor Company |_| Other:
Explain how this firm will have meaningful involvement in the performance of the contract:
Design Contract:
| 2. |
| Contract/Project No.: |
| Delivery/Task Order Number: |
| Title: |
| Location: |
| 3. |
| Award Date (mm/dd/yy): |
| Final Estimated Construction Cost (ECC): $ |
| Design Completion Date (mm/dd/yy): |
(excluding any construction phase support services such as PCAS)
| 4. |
| Type of Contract: |
| |_| Design-Build. If D-B, Construction Contractor was: |
| (check one) |
| |_| Design-Bid-Build (bid from fully designed plans and specifications) |
Customer:
| 5. |
| Name: |
| Point of Contact Name/Title: |
| POC Phone Number: |
| POC Email Address: |
Project Description:
6. Type of Work (check all that apply): |_| New Construction |_| Renovation/Repair
7. Provide a detailed description of the project and the relevancy to the project requirements of this RFP:
8. Provide a detailed description of what work your firm self-performed on this project.
9. Describe in detail specific sustainable features (LEED credits for Sustainable Sites, Water Efficiency) incorporated in this project.
Note: Form may be expanded to maximum of 2 pages.
Exhibit “B” – Project Experience – Design Firm, Page 1 of 2
(Rev 12/12)
File details come from the government source that posted it. Updated .