Attachment 4 Specialized Experience Form.docx
DOCX document 13 KB Posted
- Attached to
- Wagner Misc. Projects Federal contract opportunity
- Solicitation number
- 75H70125R00035
About this file
The file is an Attachment 4 Specialized Experience Form for a federal construction contract opportunity with the Indian Health Service (IHS). The solicitation (75H70125R00035) is for miscellaneous construction projects at the Wagner Indian Health Service Clinic in Wagner, SD, specifically designated as a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside under NAICS code 236220. The project has a total anticipated construction magnitude between $250,000 and $500,000, with a 365-calendar day performance period after Notice to Proceed, and will be awarded as a Firm Fixed Price (FFP) contract using Lowest Price Technically Acceptable (LPTA) evaluation criteria.
The form requires offerors to document their technical experience, including contract details, project titles, award values, performance periods, prime/subcontractor roles, agency information, and project descriptions. Specific experience requirements include construction at a hospital and experience with Emergency Power Supply System (EPSS) replacement or repair. For joint venture teams, additional documentation such as a joint venture agreement and prior collaboration history must be provided. Proposals are to be submitted electronically in PDF format to thupten.tsering@ihs.gov, with SAM registration being mandatory for award consideration.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B05 Amendment 4.pdf | ||
| B05 Amendment 3.pdf | ||
| B05 Amendment 2.pdf | ||
| B05 Amendment 1.pdf | ||
| B01 25R00035.pdf | ||
| Attachment 5 PPQ.docx | DOCX document | |
| Attachment 2 SOW.pdf | ||
| Attachment 3 Self Performed Calculation Sheet.docx | DOCX document | |
| Attachment 6 IHS IEE Representation Form_Jan 2022.pdf | ||
| Attachment 1 Wage Determination SD202500010.pdf |
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Text version
TECHNICAL EXPERIENCE - OFFEROR WORKSHEET
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 at a hospital |
☐ Project involved the replacement and/or repair of the EPSS
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 .