B01 Attachment J07 Company Specialized Experience Form Construction.docx

DOCX document 20 KB Posted

Attached to
Northern Cheyenne Service Unit Flooring Replacement Project Federal contract opportunity
Solicitation number
75H70122R00058
Issued by
Department of Health and Human Services Indian Health Service

About this file

This pre-solicitation notice is for a construction project to replace flooring at the Northern Cheyenne Service Unit facility in Lame Deer, Montana. The Indian Health Service intends to issue a request for proposal on or about June 23rd, 2022 to remain open for approximately 30 calendar days. The scope of work is to demolish and replace carpeting and vinyl composition tile flooring in hallways, corridors, and other designated areas with heat-welded luxury vinyl tile and new flooring. A geometric "morning star" design will also be installed in the main lobby. The construction magnitude is estimated between $250,000 to $500,000. The contract type will be firm fixed price with a 90 calendar day period of performance. The acquisition will be set aside for small businesses under NAICS code 238330 for flooring contractors and preference given to Indian Economic Enterprises. The solicitation and any amendments will be posted at SAM.gov and interested offerors should follow this pre-solicitation notice and check the website regularly for updates.

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B05 Amendment A00001 Attachment 1 Flooring Photographs.pdf PDF
B05 Amendment A00001 SF30 7 25 2022.pdf PDF
B01 Attachment J02 Wage Determination Rosebud County 2 25 2022.pdf PDF
B01 Attachment J01 Self Performed Calculation Sheet (Construction).docx DOCX document
B01 Attachment J05 IHS IEE Representation Form.pdf PDF
B01 Attachment J03 NCSU Clinic Final Drawings.pdf PDF
B01 Attachment J06 PPQ.docx DOCX document
B01 RFP 22R00058 NCSU Flooring Replacement.pdf PDF
B01 Attachment J04 Technical Specifications.docx DOCX document

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Text version

16-161-SOL-00001

NCYRTC

Attachment J07- Company Specialized Experience – Construction Form Solicitation 75H701-22-R-00058

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

Provide the following information to show examples of projects your company constructed within the last seven (7) years indicating experience with projects of similar type and scope. Use one form per project.

Type of Project Represented Your Firm’s Name Name of Project Location of Project Owner General Scope of Construction Project Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :

Construction Cost Extent and Type of Work Subcontracted Out Dates Construction: Began___________________ Completed______________ % Completed _______ Your Performance Evaluation by Owner, if known Were You Terminated or Assessed Liquidated Damages?

(If either is “Yes”, attach an Explanation) Owner’s Point of Contact for Reference (Name and Company) Current Telephone Number of Reference POC

SOURCE SELECTION SENSITIVE For Official Use Only Volume I – Factor 1 – Specialized Experience

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

Response to Solicitation 75H701-22-R-00058

File details come from the government source that posted it. Updated .