S02 - Att 03 -Prj Info Sheet for KTR - EHRM Infra Upgrade - Togus.docx
DOCX document 22 KB Posted
- Attached to
- Electronic Health Record Modernization Infrastructure Upgrades - Construction - Togus, ME
- Solicitation number
- 36C77626R0062
About this file
This is a Project Information Sheet for Contractors template designed for offerors to document their experience on relevant past contracts as part of their proposal submission for the Electronic Health Record Modernization (EHRM) Infrastructure Upgrades—Construction project at the Togus, Maine Department of Veterans Affairs facility. The form requires contractors to provide detailed information about their performance on previously completed or ongoing projects, with the NAICS code 236220 (Commercial and Institutional Building Construction) specified as the relevant classification for this opportunity.
The template requests comprehensive project details including the offeror's company name and role (prime or subcontractor), contract and project numbers, project title and location, contracting officer and owner's project manager contact information, contract type, award and final amounts, key dates (award date, notice to proceed, scheduled and actual completion), change order history with justification, any OSHA citations, and a detailed narrative describing the work performed and explaining its relevance to the current solicitation. Offerors must submit a separate completed form for each contract or project they reference, providing frank and concise commentary on their performance and explaining why each project demonstrates relevant experience—whether very relevant, relevant, or somewhat relevant—to the infrastructure upgrade construction work required for the VA's EHRM initiative at Togus.
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Text version
PROJECT INFORMATION SHEET FOR CONTRACTORS
The experience presented on this form must be in accordance with all Request for Proposal instructions. Provide a separate completed form for each contract/project submitted.
NAICS
236220 Commercial and Institutional Building Construction
Provide the following information requested in this format for each of the projects/contracts being described. Provide frank, concise comments regarding YOUR PERFORMANCE on the contracts you identify. Use as much space as required.
OFFEROR (YOUR) NAME (COMPANY/DIVISION):
ROLE ON CONTRACT (PRIME OR SUBCONTRACTOR):
CONTRACT NO:
PROJECT NO:
NAICS:
PROJECT TITLE:
LOCATION:
CONTRACTING OFFICER/POC:
PHONE NO:
E-MAIL ADDRESS:
OWNER’S PROJECT MANAGER/POC (For example the COR):
PHONE NO:
E-MAIL ADDRESS:
TYPE OF CONTRACT (Negotiated, Design/Build):
AWARD AMOUNT: $ FINAL AMOUNT: $ AWARD DATE:
NOTICE TO PROCEED DATE:
ORIGINAL SCHEDULED COMPLETION DATE:
ACTUAL COMPLETION DATE:
NUMBER OF CHANGE ORDERS AND REASON FOR CHANGES:
OSHA CITATIONS (If Applicable):
LIST ALL MAJOR SUBCONTRACTORS (W/POC & Phone Numbers):
NARRATIVE:
Provide detailed description of the work performed under the contract and describe why you believe the work is very relevant, relevant, or somewhat relevant.
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