S02 EXHIBIT A Project Information Sheet for Contractors.pdf

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Attached to
Y1DA--663A4-22-202 AMLK Install Sprinkler and Water Main Connection to Building 16
Solicitation number
36C26025R0053
Issued by

About this file

Exhibit A is a Project Information Sheet template for contractors to document project details for a federal contract opportunity. The form requires comprehensive information about a specific contract, including fields for the offeror's name, contract number, project number, NAICS code, project title, location, contracting and owner's project managers' contact information, contract type, award and final amounts, award and completion dates, change orders, OSHA citations, and major subcontractors.

This template is specifically associated with VA Solicitation Number 36C26025R0053 for a project titled "Y1DA--663A4-22-202 AMLK Install Sprinkler and Water Main Connection to Building 16" under the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 20. Contractors would complete this form to provide a detailed record of their project experience, which appears to be part of the proposal submission requirements for this 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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