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Gilbane Building Company 15 <br /> Prequalification Form for First-Tier Subcontractors under CM at Risk <br /> Orange County Crisis Diversion Facility <br /> 3.5. Current and Similar Project Experience <br /> IF YOUR COMPANY HAS WORKED ON ANY PROJECT WITHIN THE LAST 5 YEARS WITH GILBANE,YOU MUST LIST <br /> THAT PROJECT BELOW. IF YOU HAVE PROVIDED A GILBANE REFERENCE, NO ADDITIONAL REFERENCES ARE <br /> REQUIRED. <br /> IF YOUR COMPANY HAS NOT WORKED WITH GILBANE IN THE LAST 5 YEARS,YOU MUST LIST 2 CURRENT PROJECT <br /> REFERENCES AND 1 SIMILAR PROJECT REFERENCE WITHIN THE LAST 5 YEARS. Failure to provide current contact <br /> information for references will impact points given by Prequalification Committee. <br /> 1.GILBANE or Current Project <br /> Owner Name/Representative <br /> Owner Phone Number/Email <br /> Designer Name/Representative <br /> Designer Phone Number/Email <br /> CM/GC Name/Representative <br /> CM/GC Phone Number/Email <br /> Contract Dollar Amount <br /> Scope of Work <br /> Percentage Complete <br /> Anticipated Completion Date <br /> 2.Current Project Name <br /> Owner Name/Representative <br /> Owner Phone Number/Email <br /> Designer Name/Representative <br /> Designer Phone Number/Email <br /> CM/GC Name/Representative <br /> CM/GC Phone Number/Email <br /> Contract Dollar Amount <br /> Scope of Work <br /> Percentage Complete <br /> Anticipated Completion Date <br /> 3.Similar Project Name: <br /> Owner Name/Representative <br /> Owner Phone Number/Email <br /> Designer Name/Representative <br /> Designer Phone Number/Email <br /> CM/GC Name/Representative <br /> CM/GC Phone Number/Email <br /> Contract Dollar Amount <br /> Scope of Work <br /> Percentage Complete <br /> Anticipated Completion Date <br /> (Prequalification Ratings Matrix: For projects above,give up to 15 points per Gilbane reference for a maximum of 15 points. <br /> If Gilbane reference is not provided,give up to 5 points per 1 positive current and similar reference for a maximum of 15 <br /> points from the Construction Manager/General Contractor. If company contracted directly with the Owner, Gilbane will <br /> contact Owner for reference information.) <br /> Page 11 1 12 <br />