Attachment 4 Company Specialized Experience Form.docx

DOCX document 13 KB Posted

Attached to
Pine Ridge Multi Phase Door Replacement
Solicitation number
75H70126R00003
Issued by

About this file

The document is an Attachment 4 Company Specialized Experience Form template for a federal contract opportunity. This form is designed for contractors to document their relevant project experience when bidding on construction projects, specifically requiring details such as contract number, project title, award value, period of performance, prime or subcontractor status, agency information, project description, and project relevance.

The associated federal contract opportunity is a construction project for the Indian Health Service (IHS) located in Pine Ridge, South Dakota. The solicitation (75H70126R00003) seeks to replace/upgrade 67 doors and door components at the Pine Ridge hospital, addressing life safety, infection control, and security hazards. The project is a 100% set-aside for Indian Small Business Economic Enterprises (ISBEE), with a 270-calendar day performance period, utilizing NAICS code 236116 and a $45 million size standard. The contract will be awarded as a Firm Fixed Price (FFP) construction contract using a lowest price technically acceptable (LPTA) evaluation method.

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ATTACHMENT 6

SPECIALIZED EXPERIENCE FORM

Contract Number / Task Order

Project Title

Award Value

Period of Performance

Prime Contractor or Subcontractor
☐ Prime ☐ Subcontractor

If subcontractor percentage of overall work completed

Agency or Entity Name and Address

Agency or Entity POC Name, email, phone #

Detailed Description of Project and Responsibilities as prime or subcontractor (expand as needed)

Relevance (check all that apply)
☐ Construction of duplex or similar structure

☐ Similar in size and complexity (explain in description)

If the team is proposing as a joint venture, the team will be required to discuss if the joint venture has experience working together in the past. If a team is proposing as a joint venture, the team will be required to provide a copy of the joint venture agreement.

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