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

1. Type of Construction Represented and indicate if as Prime Contractor or 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) Scope: __________________________________________________________

(b) Cost/Magnitude: __________________________________________________

(c) Complexity: _____________________________________________________

15. If applicable, explain how the project specifically relates to the experience area A.1 Medium Voltage Switchgear (removal, installation, testing and commissioning):

16. If applicable, explain how the project specifically relates to the experience area A.2 Low Voltage Switchgear (removal, installation, testing and commissioning):

17. Describe the Offeror’s role AND responsibility during construction of the project (include 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):

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

19. 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.gov.

Use additional pages as necessary to provide sufficient detail to satisfy 00 24 00, Factor A.

W912DW-17-R-0011 00 24 00 - Attachment A – 2