Project_Experience_Questionnaire.pdf
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- Solicitation number
- 140F0421R0038
About this file
This document contains a Project Experience Questionnaire template to be completed by offerors responding to solicitation number 140F0421R0038 for design/build improvements at the Dale Hollow National Fish Hatchery. Offerors must provide details of up to five prior individual projects, including descriptions, contract numbers, locations, amounts, owners, dates, modifications, time extensions, disputes, and defaults. Relevant experience includes hatchery operations, design/build contracts, and work for the Department of the Interior Fish and Wildlife Service. Offerors will be evaluated based on the experience presented in the completed questionnaire.
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Text version
RFP NO. 140F0421R0038 PROJECT EXPERIENCE QUESTIONNAIRE Attachment 3
(Offerors must complete this form for evaluation purposes)
NAME OF FIRM POINT OF CONTACT
TELEPHONE NO.
EMAIL ADDRESS OR FAX
NO.
PRIOR PROJECT EXPERIENCE
(TO BE COMPLETED BY THE OFFEROR - LIST UP TO FIVE (5) INDIVIDUAL PROJECTS)
PROJECT DESCRIPTION
(USE BLANK PAGE IF NECESSARY)
CONTRACT/PROJECT
NO.
LOCATION
CONTRACT AMOUNT (ROUND
TO NEAREST DOLLAR)
ORIGINAL FINAL
1.
2.
3.
4.
5.
NAME OF OWNER/AGENCY POINT OF CONTACT TELEPHONE NO. FACSIMILE NO.
1.
2.
3.
4.
5.
ORIGINAL PROJECT DATES
WERE YOU A PRIME CONTRACTOR
OR SUBCONTRACTOR?
WERE THERE
CONTRACT
MODIFICATIONS?
(YES/NO)
HOW MANY?
WHO INITIATED
THEM? CLIENT OR
CONTRACTOR? START COMPLETION
1.
2.
3.
4.
5.
WERE THERE ANY
TIME EXTENSIONS?
(YES/NO)
IF SO, INDICATE
TOTAL EXTENDED
DAYS?
WAS THE
SCHEDULE MET?
(YES/NO)
IF NOT, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
HAVE YOU EVER
ENTERED A
DISPUTE? (YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
HAVE YOU EVER
BEEN DEFAULTED?
(YES/NO)
IF SO, WHAT WAS THE REASON?
(USE BLANK PAGE IF NECESSARY)
1.
2.
3.
4.
5.
File details come from the government source that posted it. Updated .