Attachment J03 - Company Specialized Experience Form.docx
DOCX document 20 KB Posted
- Solicitation number
- 75H70124R00005
About this file
This document is a company specialized experience form to be submitted in response to solicitation number 75H70124R00005 for maintenance services at the Cheyenne River Health Center Parking Lot. The form requests information on up to six relevant construction projects completed in the last six years by the bidding company, including project name, location, owner, scope of work, role of the bidding company, construction cost, subcontracted work, dates, performance evaluation if known, and owner reference contact. The specialized experience form will be evaluated as part of the source selection process for the parking lot maintenance services required by the Department of Health and Human Services Indian Health Service at the location specified in the solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| B05 75H70124R00005 Amendment 03.pdf | ||
| B05 75H70124R00005 Amendment 02.pdf | ||
| B05 75H70124R00005 A00001.pdf | ||
| Attachment J01 - Statement of Work and Drawings.pdf | ||
| Attachment J02 Wage Determination.pdf | ||
| B01 75H70124R00005.pdf | ||
| Attachment J04 - PPQ.docx | DOCX document |
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Text version
16-161-SOL-00001
NCYRTC
Attachment J03. Company Specialized Experience Solicitation 75H70124R00005
COMPANY SPECIALIZED EXPERIENCE 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.
Type of Project Represented Your Firm’s Name Name of Project Location of Project Owner General Scope of Construction Project Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :
Construction Cost Extent and Type of Work Subcontracted Out Dates Construction: Began___________________ Completed______________ % Completed _______ Your Performance Evaluation by Owner, if known Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation) Owner’s Point of Contact for Reference (Name and Company) Current Telephone Number of Reference POC
SOURCE SELECTION SENSITIVE For Official Use Only
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
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