00_24_00_-_Attachment_A_(Word_version).docx

00 24 00 - ATTACHMENT A

FACTOR A: CORPORATE EXPERIENCE AND CAPABILITIES FORM

USE ONE FORM PER PROJECT

Note: A separate Word version of this document will be accessible on fedbizopps at fbo.gov

1. Experience Chart (Example) Type of Construction Represented and indicate if as Prime Contractor or Subcontractor:

Example - Name of Prime

Example - Name of Subcontractor

Example - Name Subcontractor

2. Name of Offeror: ______________________________________________

3. Project Title: ______________________________________________

4. Contract/Project Number: ______________________________________________

5. Project Location: ______________________________________________

6. Total Contract Value: $ ______________ (Final value if completed, current value if not completed)

7. If Offeror performed as Subcontractor, the $-value of Subcontract: $ ______________ (If a subcontractor, identify the $-portion you were responsible for)

8. Construction Phase Start Date (Month/Year): ______________________________________

9. Construction Phase Completion Date (Month/Year): _________________________________ (Actual date if project has been completed, anticipated date if project is not complete, must be at least 75% complete to be considered)

10. Name of Customer/Client: ______________________________________________

11. Telephone Number of Customer/Client: _____________________________________________

12. Email Address of Customer/Client: ______________________________________________

13. General Scope of Construction Project: ______________________________________________

14. Describe/demonstrate how the project is relevant to the solicitation in the following areas, as stated in the Definitions:

(a) Cost/Magnitude: ______________________________________________________________

(b) Complexity: _________________________________________________________________

(c) Function: ___________________________________________________________________

(d) Scope: ______________________________________________________________________

15. If applicable, explain how the project specifically relates to the experience area A.1 Mechanical Rehabilitation:

16. If applicable, explain how the project specifically relates to the experience area A.2 Gate Coating:

17. If applicable, explain how the project specifically relates to the experience area A.3 Steel Trolley Systems:

18. Describe the Offeror’s role and responsibility during construction of the project (indicate whether your firm performed as a prime or subcontractor and what percentage of work you self-performed and/or type of work you subcontracted out, if applicable):

19. Your Performance Evaluation by Customer/Client, if known:

20. Ensure at least one (1) representative photo/image of each project is submitted.

Note: A separate Word version of this document will be accessible on fedbizopps at fbo.gov. Attach additional pages as necessary.

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