ATTACHMENT 3.4.1(a) LEAD CONTRACTOR - WORK HISTORY FORM (LIMIT 1 PAGE PER PROJECT) a. Project Name & b. Name of the prime c. Contact information of d. Contract Completion e. Contract Completion f. Contract Value (in thousands) g. Dollar Value of Work Location design consulting firm the Client or and their Date (Original) Date (Actual or Performed by the Firm Original Contract Final or Estimated responsible for the overall Project Manager who can Estimated) Contract Value identified as the Lead project design. verify Firm’s Contractor for this responsibilities. procurement.(in thousands) Name: Name: Name of Client/ Owner: Phone: Location: Project Manager: MM/YYYY MM/YYYY Phone: Email: h. Narrative describing the Work Performed by the Firm identified as the Lead Contractor for this procurement. If the Offeror chooses to submit work completed by an affiliated or subsidiary company of the Lead Contractor, identify the full name of the affiliate or subsidiary and the role they will have on this Project, so the relevancy of that work can be considered accordingly. The Work History Form shall include only one singular project. Projects/contracts with multiple phases, segments, elements (projects), and/or contracts shall not be considered a single project. Projects/contracts with multiple phases, segments, elements (projects), and/or contracts shall not be claimed as a single project on this form. If the Offeror chooses to submit work performed as a Joint Venture or Partnership, identify how the Joint Venture or Partnership was structured and provide a description of the portion of the work performed only by the Offeror’s firm.
ATTACHMENT 3.4.1(a) LEAD CONTRACTOR - WORK HISTORY FORM (LIMIT 1 PAGE PER PROJECT) a. Project Name & Location b. Name of the prime design consulting firm responsible for the overall project design. c. Contact information of the Client or and their Project Manager who can verify Firm’s responsibilities. d. Contract Completion Date (Original) e. Contract Completion Date (Actual or Estimated) f. Contract Value (in thousands) g. Dollar Value of Work Performed by the Firm identified as the Lead Contractor for this procurement.(in thousands) Original Contract Final or Estimated Contract Value Name: Location: Name: Name of Client/ Owner: Phone: Project Manager: Phone: Email: MM/YYYY MM/YYYY h. Narrative describing the Work Performed by the Firm identified as the Lead Contractor for this procurement. If the Offeror chooses to submit work completed by an affiliated or subsidiary company of the Lead Contractor, identify the full name of the affiliate or subsidiary and the role they will have on this Project, so the relevancy of that work can be considered accordingly. The Work History Form shall include only one singular project. Projects/contracts with multiple phases, segments, elements (projects), and/or contracts shall not be considered a single project. Projects/contracts with multiple phases, segments, elements (projects), and/or contracts shall not be claimed as a single project on this form. If the Offeror chooses to submit work performed as a Joint Venture or Partnership, identify how the Joint Venture or Partnership was structured and provide a description of the portion of the work performed only by the Offeror’s firm.
Albemarle_Int_Bundling_Attachment_3.4.1a_-_Work_History_Form_-_Lead_Contractor_track_change.docx