RFP_Exhibit A_Construction Experience Project Data Sheet.doc

Paving DBB IDIQ

N69450-20-R-0078

Florida Panhandle Area of Operation

Section 00100 - Attachments and Exhibits

Exhibit A – Construction Experience Project Data Sheet

EXHIBIT A

EXHIBIT A

CONSTRUCTION EXPERIENCE PROJECT DATA SHEET

1. Project No. (check one) : CON #5 CON #4 CON #3 CON #2 CON #1

2. Experience for: Other (Explain) Joint-Venture Offeror Firm Name:

Address:

Phone Number:

Point of Contact: Contact Phone Number:

3. Work Performed as: Other (Explain) Joint Venture Sub Contractor Prime Contractor Percent of project work performed:

If subcontractor, who was prime (Name/Phone #):

4. Contract Number: Delivery/Task Order Number:

Title:

Location:

5. Award Date (mm/dd/yy): Completion Date (mm/dd/yy):

6. Type of work:

Other (explain): Alteration Repair Renovation New Construction

7. Type of Contract/Task Order: (Check ALL that apply)

Other (explain): Cost/Time and Material Firm-Fixed Price

8. Construction Project:

Total Award Amount: Final Price:

Type of Contract/Task Order: (Check ALL that apply)

Other (explain): Delivery/Task Order (IDIQ) Design-Bid-Build Design-Build

9. Customer/Owner Name:

Point of Contact (POC): POC Phone Number:

FAX Number: POC E-mail address:

10. Provide a detailed description of the project and the relevancy to the project requirements of this RFP (i.e.: unique features, square footage, construction methods), including any sustainable features or USGBC LEED certifications.

11. Provide a detailed description of what work your firm self-performed on this project:

12. Other Information:

SOURCE SELECTION SENSITIVE INFORMATION

DISCLOSURE LIMITATIONS AS OUTLINED IN FAR 2.101 & 3.104 APPLY