B01 Att J07 - Company Specialized Experience Form Construction.pdf

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Attached to
Blackfeet Apartment Complex, Browning MT Federal contract opportunity
Solicitation number
75H70122R00068
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains a presolicitation notice and scope of work for a construction project to build a 14-plex apartment building on the Blackfeet Reservation in Browning, Montana. The Indian Health Service seeks to award a firm-fixed-price construction contract to construct eight one-bedroom apartments, two two-bedroom apartments, and two four-bedroom dormitory-style apartments in a two-story building. Additional project elements include a central gathering area, common kitchen, fitness center, housekeeping facilities, and elevator. The performance period is 730 calendar days from notice to proceed. The government estimates the construction magnitude to exceed $10 million. The solicitation is anticipated to be released on or around July 25, 2022 and remain open for approximately 30 days. The contract will be awarded using best value tradeoff source selection procedures with a lowest price technically acceptable evaluation factor.

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

Attachment J05. Company Specialized Experience – Construction Form

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

Provide the following information to show examples of projects your company constructed within the last five (5) years indicating experience with projects of similar type and scope. Use one form per project.

(a) Type of Project Represented

(b) Your Firm’s Name

(c) Name of Project

(d) Location of Project

(e) Owner

(f) General Scope of Construction Project

(g) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :

(h) Construction Cost

(i) Extent and Type of Work Subcontracted Out

(j) Dates Construction: Began___________________ Completed______________ % Completed _______

(k) Your Performance Evaluation by Owner, if known

(l) Were You Terminated or Assessed Liquidated Damages?

(If either is “Yes”, attach an Explanation)

(m) Owner’s Point of Contact for Reference (Name and Company)

(n) Current Telephone Number of Reference POC

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

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