SOW Attachment 11 - Project Information Sheet for Contractors.pdf
PDF 115 KB Posted
- Attached to
- Z1DA--402-23-102, Medical Gas System Upgrade
- Solicitation number
- 36C24123R0150
About this file
This Project Information Sheet template requests details on relevant past projects for a Medical Gas System Upgrade opportunity with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1. Offerors are asked to provide the contract number, project number, NAICS code, title, location, points of contact for the contracting officer and owner's project manager, 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 with contact information for each project cited as experience on the related solicitation numbered 36C24123R0150.
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Other files
| File | Type | Posted |
|---|---|---|
| Revised SOW 9-26-2023.docx | DOCX document | |
| RFI Answers.docx | DOCX document | |
| 36C24123R0150 0004.docx | DOCX document | |
| 36C24123R0150 0003.docx | DOCX document | |
| 36C24123R0150 0002.docx | DOCX document | |
| 36C24123R0150 0001.docx | DOCX document | |
| SOW Attachment 12 - Subcontractor Information and Consent Form.pdf | ||
| SOW Attachment 06 - PIV Request Form.docx | DOCX document | |
| SOW Attachment 10 - Local Requirements.pdf | ||
| SOW Attachment 04 - Togus Campus Map.pdf | ||
| SOW Attachment 08 - NEPA Analysis.pdf | ||
| Contractor Evaluation Safety Form.docx | DOCX document | |
| SOW Attachment 03 - PCRA.pdf | ||
| Past Performance Questionnaire.docx | DOCX document | |
| Wage Determination - ME20230009.pdf | ||
| SOW Attachment 02 - ICRA.pdf | ||
| SOW Attachment 01 - Medical Gas Inspection Report.pdf | ||
| SOW Attachment 07 - Photos.pdf | ||
| SOW.docx | DOCX document | |
| SOW Attachment 05 - Seasonal Influenza with Vaccines.pdf | ||
| SOW Attachment 09 - General Requirements and Specifications.pdf | ||
| 36C24123R0150_1.docx | DOCX document |
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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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