Project Information Form.docx

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Attached to
Replace Failing Yard Patrol (YP) Pier and Wave Screen, 87NS, Naval Support Activity (NSA) Annapolis, MD
Solicitation number
N4008023R0015
Issued by

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This document contains a Project Information Form template to be used for submitting supporting project experience information in response to a Sources Sought Notice. The form requests details on up to four relevant past projects, including contract number, award and completion dates, final contract price, percentage completed and self-performed work. Respondents are to provide a two-page maximum description of each project detailing the type of work, customer, scope, design and construction responsibilities. The related federal contract opportunity is a Sources Sought Notice issued by the Naval Facilities Engineering Command seeking information to replace a failing yard patrol pier and wave screen at the Naval Support Activity in Annapolis, Maryland. Responses to the Sources Sought Notice should include completed Project Information Forms demonstrating relevant experience. No response deadline or award date is included.

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Contractor Information Form.docx DOCX document
Sources Sought- YP Pier Annapolis Final.pdf PDF

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SOURCES SOUGHT – PROJECT INFORMATION FORM

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to four (4) 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 .