Exhibit 4 RFI-DPW Template Blank Form V.1.2 (1) W911RX26BA001.pdf

This document is a Request for Information (RFI) report template used by the Department of Public Works (DPW) to manage contractor and stakeholder inquiries regarding federal contracts.

The form captures essential contract information including the contract title, contract number, RFI number, date, and identifies the prime contractor and requesting party. It requires contractors or stakeholders to specify the SOW paragraph number and feature of work related to their inquiry, along with a detailed description of the problem or issue. The template includes checkboxes to categorize the potential impact of the RFI as cost, schedule, other, or no cost change. Contractors must propose a solution in a designated section, and the form requires a response deadline date and contractor signature. The lower portion of the form provides options for the Contracting Officer's Representative (COR) to accept or reject the proposed solution, provide recommendations, or respond to contractor questions. Additionally, the form includes acceptance checkboxes for multiple stakeholder departments—Safety, NEC, Fire Department, Master Planning, and Environmental—allowing interdepartmental coordination before final COR approval. The COR must sign and date the form upon completion of their review and determination.