Attachment_3_Project_Experience_Fillable_Form.DOCM
DOCM document 86 KB Posted
- Attached to
- Pleasant Grove Maintenance Building-Solicitation Federal contract opportunity
- Solicitation number
- R16PS00440
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Attachment 3 Project Experience Fillable Form
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Text version
Past Project Information Worksheet
| Project Name: |
| Type Project Name |
| Project Location: |
| City, State |
| Project Submittal Number: |
| PRJ Number |
| (See Request for Qualifications, Section M, Factor 1) |
| Name of Acquiring Government Agency or Commercial Customer: |
| Address: |
| Customer Name |
| Address |
City, State Zip Code
| Contract Number: |
| Contract Number |
| Contract Date: Month, Year |
Name(s) of Agency or Owner Responsible Representative Who May be Contacted for Further Information:
First and Last Name, Title First and Last Name, Title Phone Number(s):
Phone Number Phone Number
Project Delivery Method:
(select one)
Role in Project:
(select one)
At what phase of development did your firm become involved with this project?
(select one)
Building Type:
Work Completed by Your Firm:
Total Building Size (SF):
Office % of Space =
| High Density Records Storage % of Space = |
| Conference Center % of Space = |
| Other |
% of Space =
Describe general layout / functional use of this building:
Limit 250 Characters
If applicable, describe type of high density storage:
Limit 250 Characters
Were this building’s massing and other architectural features designed and constructed to be compatible and sympathetic with an existing building eligible for or listed in the National Register of Historic Places?
Did your firm participate in consultations with interested historic preservation authority?
If yes, what role did your firm play in the consultations?
Limit 75 Characters
LEED Certified:
(Include a copy of USGBC Award Letter or Certificate)
If building is designed to LEED standards but not certified, explain:
Limit 75 Characters If building is certified by a Green Building program other than LEED, describe (Include proof of certification):
Limit 75 Characters
| Original Construction Completion Date: Month, Year |
| Actual Construction Completion Date: Month, Year |
Explain early / late project completion:
Limit 250 Characters
| Original Contract Amount: $ |
| Final Contract Amount: $ |
Explain under / over budget costs:
Limit 250 Characters
Describe any problems encountered in performance of the work and corrective action(s) taken:
Limit 250 Characters
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