Attachment 5 Specialized Experience Form.docx
DOCX document 13 KB Posted
- Solicitation number
- 75H70125R00008
About this file
This is a Technical Experience worksheet template that offerors must complete to demonstrate their specialized experience relevant to the Zuni-Ramah Emergency Power Supply System (EPSS) Replacement project. The form requires contractors to provide details about past performance including contract numbers, project titles, award values, periods of performance, and their role as either prime or subcontractor. Contractors must specifically indicate experience with hospital construction projects and EPSS replacement/repair work.
The form includes additional requirements for joint venture proposals, requiring teams to discuss any previous collaborative experience and provide copies of joint venture agreements. The worksheet is designed to collect point of contact information, detailed project descriptions, and verify relevance to key technical requirements for the IHS construction project, which has an estimated value between $500,000 and $1 million and is set aside for Indian Small Business Economic Enterprise (ISBEE) contractors.
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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 .