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Text version

EXHIBIT “B”

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET – OFFEROR

N62473-21-R-1216

This form is to be completed by the Offeror. 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

Contractor:

1.
Offeror Name:
Firm who performed the work:
Performed this work as:
|_| Prime Contractor|_| Subcontractor|_| Joint Venture
|_| Other (explain):
If subcontractor, name of prime:
Phone #:
If the firm who performed this project differs from the Offeror proposing on this contract, identify the firm’s relationship to the Offeror:
|_| Joint Venture Member |_| Partner

|_| Subsidiary |_| Parent Company |_| Affiliate |_| Predecessor Company |_| First-tier SB Subcontractor |_| Other:

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

Note: The firm who performed the work of this project must be named on Exhibit “A” and fully described as a team member who will have meaningful involvement in performance of the relevant work of this contract. If the Offeror fails to demonstrate the firm’s meaningful involvement in the performance of this contract, the project will not be considered relevant and will not be evaluated.

Construction Contract:

2.
Contract/Project No.:
Delivery/Task Order Number:
Title:
Location:
3.
Award Date (mm/dd/yy):
Award Amount:

(for dry utility scope only)

Completion Date (mm/dd/yy):
Final Price:

(for dry utility scope only)

This is the: |_| total project |_| subcontract price Note: If firm is indicated as a subcontractor in Block 1, provide the price of the subcontract.

4.
Type of Contract:
|_| Design-Build (DB). If DB, design firm was:
(check one)
|_| Design-Bid-Build (DBB)
|_| Other (explain):

Client/Owner Information:

5.
Client/Owner:
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. If project is design-build, provide a description of the design effort:

9. Percentage of work your firm self-performed (see definition): % Provide a detailed description of the work your firm self-performed on this project. Note: do not include project administration or management functions (such as quality control or safety program) or miscellaneous work (such as housekeeping or cleanup).

10. Describe in detail specific sustainable features incorporated in this project.

Note: Form may be expanded to maximum of 2 pages.

Exhibit “B” – Project Experience - Offeror, Page 1 of 2

(Rev 8/21)

File details come from the government source that posted it. Updated .