Sources Sought Past Performance Project Data Form.docx

DOCX document 23 KB Posted

Attached to
Z2DA--CON-NRM 668-24-103 Replace Roofing Buildings 1, 2, 3, and 31
Solicitation number
36C26026Q0507
Issued by

About this file

This is a Past Performance Project Data Form template designed for contractors to document their relevant project experience in response to the Sources Sought announcement for roofing replacement at Mann-Grandstaff VA Medical Center in Spokane, Washington (Solicitation Number 36C26026Q0507).

The form requires contractors to provide comprehensive project information including firm details (name, CAGE code, UEI, contact information), work role (prime contractor, subcontractor, joint venture), and the percentage of project work performed. Contractors must complete sections detailing contract specifics such as contract number, government agency, contract type (Firm Fixed Price, Cost Reimbursement, or other), contract title, location, award date, completion dates, and pricing information including original and final contract prices with explanations of any differences. The form also requests documentation of work complexity (High, Medium, or Routine) and requires contractors to explain how their past project is relevant to the current solicitation by providing details such as square footage, similar equipment, requirements, and conditions. This template serves as the primary mechanism for collecting evidence of contractor capability and past performance to support market research for the roof replacement project, which involves built-up roofing, single ply membrane roofing, elastomeric roofing, and TPO roofing membrane systems with an estimated project value between $2,000,000 and $5,000,000 under NAICS code 238160 (Roofing Contractors).

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Other files

File Type Posted
Draft SOW.docx DOCX document
668-24-103 HAZ B31.pdf PDF
668-24-103 HAZ B3.pdf PDF
Draft Specifications.pdf PDF
668-24-103 HAZ B2.pdf PDF
668-24-103 HAZ B1.pdf PDF
Sources Sought Contractor Information Form.docx DOCX document
36C26026Q0507.docx DOCX document

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Text version

Past Performance Project Data Form

CONTRACT INFORMATION (Contractor to complete Blocks 1-4)

1. Contractor Information
Firm Name:CAGE Code:
Address:UEI:

Phone Number:

Email Address:

Point of Contact: Contact Phone Number:

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

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

3. Project Description:

Contract Number:

Delivery/Task Order Number (if applicable):

Government Agency/Private Entity:

Contract Type: |_| Firm Fixed Price |_| Cost Reimbursement |_| Other (Please specify):

Contract Title:

Contract Location:

Award Date (mm/dd/yy):

Contract Completion Date (mm/dd/yy):

Actual Completion Date (mm/dd/yy):

Explain Differences:

Original Contract Price (Award Amount):

Final Contract Price (to include all modifications, if applicable):

Explain Differences:

Complexity of Work |_| High |_| Med |_| Routine How is this project relevant to project of submission (i.e., relates the size, scope and complexity requirements for the services described)? (Please provide details such as square footage, similar equipment, requirements, conditions, etc.)

File details come from the government source that posted it. Updated .