J04 Company Specialized Experience Construction Form.pdf
PDF 83 KB Posted
- Attached to
- Roof Repairs at Northern Navajo Medical Center (NNMC) located in Shiprock, New Mexico, San Juan County
- Solicitation number
- 75H701-24-R-00011
About this file
This document contains a solicitation notice and related construction project specialized experience form for roof repairs at the Northern Navajo Medical Center in Shiprock, New Mexico. The Indian Health Service is soliciting proposals for a firm fixed price construction contract with a period of performance of 104 calendar days. The project scope involves installing a new roof system to encapsulate an existing worn roof, installing lightning protection, and repairing stucco parapet walls. The construction magnitude is estimated between $1,000,000 to $5,000,000. The solicitation will use Lowest Price Technically Acceptable evaluation criteria. Offerors must register in the System for Award Management and check for any amendments to the solicitation.
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Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-24-R-00011
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-24-R-00011
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last six (6) 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) Type of Facility (i.e. office building, hospital, etc.)
(h) Size of building, including number of gross square feet and number of stories
(i) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed
(j) Dollar Value of the Contract
(k) Extent and Type of Work Subcontracted Out
(l) Dates Construction: Began___________________ Completed______________ % Completed _______
(m) Your Performance Evaluation by Owner, if known
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-24-R-00011
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-24-R-00011
(n) Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation)
(o) Owner’s Point of Contact for Reference (Name and Company)
(p) Current Telephone Number of Reference POC
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
File details come from the government source that posted it. Updated .