S02 EXHIBIT A Project Information Sheet for Contractors.pdf
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- Attached to
- Z2DA--405-13-104 | Inpatient Ward Renovation
- Solicitation number
- 36C24122R0135
About this file
This document provides a project information sheet template for contractors to submit details on relevant past performance projects for a federal opportunity. The template requests information on the offeror name, contract and project numbers, NAICS code, title, location, points of contact for contracting officers and owners, type of contract, award and final amounts, award and notice to proceed dates, original and actual completion dates, number and reasons for any change orders, and list of major subcontractors.
The related federal contract opportunity is solicitation number 36C24122R0135 for an inpatient ward renovation project at a Department of Veterans Affairs medical center within Veterans Integrated Service Network 1. Offerors are requested to complete the project information sheet template to provide details on relevant past performance for the solicitation.
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Text version
EXHIBIT A: PROJECT INFORMATION SHEET FOR
CONTRACTORS
Provide the following information requested in this format for each of the projects/contracts being described in Factor 1.
OFFEROR (YOUR) NAME (COMPANY/DIVISION):
CONTRACT NO:
PROJECT NO:
NAICS:
PROJECT TITLE:
LOCATION:
CONTRACTING OFFICER/POC:
PHONE NO:
E-MAIL ADDRESS:
OWNER’S PROJECT MANAGER/POC:
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):
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