Amendment R0001 - W912DW21R0023_00 22 00 - Attachment 1 (Word version).docx

SECTION 00 22 00 - ATTACHMENT 1

OFFEROR or KEY SUBCONTRACTOR EXPERIENCE FORM Amendment R0001

PLEASE USE THIS FORM PER SUBMITTED PROJECT

Factor 1 – Relevant Construction Experience of Offeror

Note: A separate Word version of this document will be accessible on beta.sam.gov

• 5.2.1: At least one (1) “Relevant Construction Project” example shall: 1) be constructed on a Department of Defense (DoD) installation; 2) be constructed in accordance with the Unified Facilities Criteria (UFC) 3-460-01; 3) include a description of the means and methods of the project’s commissioning and system start-up in accordance with general requirements detailed in UFGS 33 08 55; and 4) have a minimum magnitude equal to or greater than $7M$8M.

• 5.2.2: At least one (1) “relevant construction project” example shall: 1) include a minimum of any two (2) of the four (4) elements identified in the definition of a Relevant Construction Project; 2) be constructed in accordance with the Unified Facilities Criteria (UFC) 3-460-01 (or for commercial construction must meet the general intent outlined in the UFC); 3) include a description of the means and methods of the project’s commissioning and system start-up in accordance with UFGS 33 08 55 (or for commercial construction must meet the general intent outlined in the UFGS); and 4) have a minimum magnitude equal to or greater than $4M.

• 5.2.3: At least one (1) project example which includes vertical construction of a 200 square foot or larger Petroleum, Oil, & Lubricants (POL) operations building shall be provided, either as an example of submitted projects outlined in paragraphs 5.2.1 or 5.2.2 or as a separate stand-alone project. Project example should be similar in scope and complexity to the vertical construction of the proposed project scope as it relates to POL facility construction, HVAC, mechanical, electrical, and plumbing features. There is no minimum magnitude.

Provide the following information to show examples of projects your company constructed within the last six (6) years indicating experience with recent and relevant projects.

1. Name of Offeror:

2. Project Title:

3. Contract/Project Number:

4. Project Owner and Location:

5. Total Contract Value: $ (Final value)

6. If submitting project performed by a JV, provide the DUNS number and Cage Code for each member:

7. Offeror acting as Subcontractor or performed as Key Subcontractor (Yes or No)

8. If Offeror performed as Subcontractor, the $-value of Subcontract: $

9. Construction Phase Start Date (Month/Day/Year):

10. Original Construction Phase Completion Date (Month/Day/Year):

11. Actual Construction Phase Completion Date (Month/Day/Year):

12. Name of Owner/Client POC:

13. Telephone Number of Owner/Client POC:

14. Email Address of Owner/Client POC:

15. General Scope of Construction Project:

ATTACHMENT 1 CONTINUED:

16. Describe/demonstrate how the project is relevant to the RFP in the following areas, as defined in Factor 1:

(a) Complexity:

(b) Magnitude/Cost:

(c) Scope:

17. Describe your 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).

18. Summarize the performance evaluation by Customer/Client, if known:

19. Were you issued a Cure Notice, Show Cause Letter, Terminated for Default and/or Assessed Liquidated Damages? (If “Yes” provide an explanation):