Work_History_Form.pdf

PDF 68 KB Posted

Attached to
Harrison Road, Pantano Wash Bridge PDB
Solicitation number
260111
Issued by
Pima County, Tucson City, Arizona

About this file

This document is a blank Work History Form template designed for proposers to document their past project experiences. The form is structured to capture comprehensive details about a specific project, including project name, location, description, key personnel, challenges, delivery method, and firm's role. The template requires detailed information such as client details, contract values, project dates, work percentages, and any claims or dispute proceedings.

The form is meticulously organized across two pages, with sections for qualitative descriptions like project risks, lessons learned, and additional relevant information, as well as quantitative data including initial and final contract values, completion dates, and contact information. It appears to be a standard document used in procurement processes, Request for Proposals (RFP), or contract bidding scenarios to evaluate a firm's previous project experience and capabilities. The form provides a standardized method for companies to showcase their professional background and project management expertise.

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Text version

WORK HISTORY FORM

Name of Proposer: _________________________________________________

Project: _________________________________________________

Firm Name (Entity that participated on the project):

Project name, location, description, and nature of work for which company was responsible:

Identify named Key Personnel who worked on the project:

Describe the project, key risks, and challenges:

WORK HISTORY FORM

Project Delivery Method:

Firm role (e.g., prime, joint venture member, subcontractor):

Explain any cost or schedule growth over 10%:

Describe lessons learned:

Name of Client (Owner/Agency, Contractor, etc.):

Address:

Contact Name:

Telephone:

Owner’s Project or Contract No.:

E-mail:

Initial Contract Value (US$):

Final Value (US$):

Percent of Total Work Performed by Company:

Commencement Date:

Planned Completion Date:

Actual Completion Date:

Amount of Claims: Any Dispute Proceedings? Yes* __ No __

*If yes, describe on a separate sheet.

Please provide any additional information that was not asked in this form and is relevant to this Project

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