Project Data Form.docx
DOCX document 18 KB Posted
- Solicitation number
- N4008526R0045
About this file
This is a Sources Sought Project Data Form template designed for construction experience documentation. Contractors responding to the Navy's Design-Bid-Build Phase III Groundwater Treatment Plant Construction solicitation (N4008526R0045) in Bethpage, Wantagh, New York must submit up to five completed project forms (limited to two pages per project) to demonstrate relevant construction experience. The form requires contractors to provide comprehensive project information including contract details, award and completion dates, final contract price, work type classification, customer/owner contact information, prime or subcontractor status, contract delivery method, and a detailed description of work self-performed with percentage breakdowns.
The form structure captures critical qualification data for the Navy's market research purposes, including whether design was accomplished in-house for design-build projects, identification of lead design firms and collaboration history, and the percentage of work self-performed by the responding firm. The document explicitly states that form content cannot be modified and may be expanded as needed. This template serves as the primary documentation tool for contractors to substantiate their experience and capability to execute the Phase III GWTP construction project, which involves building a new groundwater treatment plant to remediate contamination consisting of chlorinated volatile organic compounds and 1,4-dioxane originating from former Navy and Northrop Grumman properties.
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Other files
| File | Type | Posted |
|---|---|---|
| Contractor Information Form.docx | DOCX document | |
| 26R0045 NWIRP Bethpage SNN 2 Final.pdf |
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Text version
SOURCES SOUGHT – CONSTRUCTION EXPERIENCE PROJECT DATA FORM
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.
File details come from the government source that posted it. Updated .