Attachment J05 - Company Specialized Experience Form.docx
DOCX document 22 KB Posted
- Attached to
- Santa Fe Indian Hospital Pharmacy Renovation
- Solicitation number
- 75H70123R00015
About this file
This solicitation is for a construction project to renovate the pharmacy department at the Santa Fe Indian Hospital in Santa Fe, New Mexico. The project will include demolition of the existing pharmacy and construction of a new pharmacy department, along with relocation of the security office. The construction magnitude is estimated between $1 million to $5 million. The period of performance is 240 calendar days from notice to proceed. The single award will be a firm fixed price contract awarded using lowest price technically acceptable evaluation criteria. The pre-proposal site visit will be held on May 31, 2023 at 10:00 AM MDT. The solicitation is designated as a small business set-aside, with a size standard of average annual revenue less than $45 million over the past three years. Registration in the System for Award Management database is required to be considered for award.
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Text version
16-161-SOL-00001
NCYRTC
Attachment J05. Company Specialized Experience – Construction Form Solicitation 75H70123R00015 Project: Santa Fe Indian Hospital (SFIH) Pharmacy Renovation (Project #AQ19SF001)
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last seven (7) 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
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H70123R00015
File details come from the government source that posted it. Updated .