ATTACHMENT_A_for_00_22_00.docx

00 22 00 - ATTACHMENT A

FACTOR A: CORPORATE EXPERIENCE

USE ONE FORM PER PROJECT

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

Mark/circle in the table below which subfactors and elements this project demonstrates experience and should be considered.

1. Circle to indicate if work was performed as a Prime Contractor or Subcontractor:

Prime 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: $ ______________

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)

10. Name of Customer/Client: ______________________________________________

11. Telephone Number of Customer/Client: _________________________________________

12. Email Address of Customer/Client: ____________________________________________

13. Complete the following table to help demonstrate the relevancy of the project:

Number of trades working simultaneously

Name of Lock or Dam where work occurred

Number of gates on which work was performed

Type of hydraulic steel structure

Indicate if work rehabilitation or new construction

14. Describe General Scope of the Construction Project: __________________________

15. Describe what type of facility work was performed at:

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

17. Describe/demonstrate how the project is relevant to the solicitation in the following areas:

Subfactor A.1 Mechanical Equipment Replacement

a. Describe what type of Mechanical Equipment was replaced and how it meets the criteria of subfactor A.1. Clearly describe work for each applicable element of the subfactor.

b. Describe the Offeror’s role and responsibility during construction of the project:

Subfactor A.2 Trunnion/Rotational Alignment

a. Describe what type of trunnion and/or rotational alignment was performed and how it meets the criteria of subfactor A.2:

Subfactor A.3. Gate Coating.

a. Describe what type of gate coating was applied and how it meets the criteria of subfactor A.3. Clearly describe work for each applicable element of the subfactor.

Subfactor A.4. Steel Retrofit and Welding.

a. Describe what type of steel retrofitting and welding of steel structures was performed, and how it meets the criteria of subfactor A.4. Clearly describe work for each applicable element of the subfactor.

18. Provide at least 1 representative photograph or image of the project:

Note: Use additional pages as necessary to provide sufficient detail to satisfy 00 22 00.