Exhibit_B_-_Experience_-_Designer.pdf

EXHIBIT “B”

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET – DESIGN FIRM

N62473-15-R-2435

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. Do not exceed two (2) pages per project.

Project No. (check one): - 1 - 2 - 3 - 4 - 5

Design Firm:

1. Design Firm Name:

Design Firm Address:

Firm who performed the work: (this is Team Member # from Exhibit “A”)

Performed this work as: Lead Design Firm Sub-Consultant

Other (explain):

If sub-consultant, name of

Lead Design Firm:

Phone #:

If the firm who performed the work differs from the

Design Firm named above, identify the firm’s relationship to the named Design Firm.

Parent Company

Subsidiary

Satellite Office

Predecessor Company

Affiliate

Other:

Explain the relationship and how this firm will have meaningful involvement in the performance of the contract:

Note: For purposes of the evaluation, the address above must match the address provided on the proposal Cover Letter and the submitted past performance evaluation form (PPQ/ACASS) for this project; otherwise provide a complete explanation above.

Design Contract:

2. Contract/Project No.: Delivery/Task Order Number:

Title:

Location:

3. Award Date (mm/dd/yy): Final Construction Cost: $

Design Completion Date (mm/dd/yy):

(excluding any construction phase support services such as PCAS)

4. Type of Contract: Design-Build (designed and constructed under a single contract)

(check one) Design-Bid-Build (bid from fully-designed plans and specifications)

Other (explain):

If D-B, construction contractor firm was:

Firm is not a member of the proposed team for this MACC

Firm is Team Member # from Exhibit “A”

Customer:

5. Name:

Point of Contact Name/Title:

POC Phone Number: POC Email Address:

Project Description:

This project was primarily New construction Renovation (see definition; check one box only).

6. Provide a detailed description of the project and its relevancy to the intended work of this MACC. Include the features of work that demonstrate the project was primarily new construction or primarily renovation.

7. Provide a description of what work your design firm self-performed on this project.

Note: Form may be expanded.