Attachment J06 - Company Specialized Experience Form Construction.pdf
PDF 175 KB Posted
- Attached to
- Fort Washakie Optometry & HIM Remodel
- Solicitation number
- 75H70123R00061
About this file
This solicitation notice is for construction services for the renovation of the Optometry and Medical Records departments at the Fort Washakie Health Center in Fort Washakie, Wyoming. The Indian Health Service seeks a contractor to renovate approximately 3,661 total square feet including 778 square feet in Medical Records, 1,546 square feet in Optometry, and 1,337 square feet of office space. The scope of work involves renovating the existing departments to better support the needs of the Service Unit and its patients. The location of work is the Wind River Service Unit, Fort Washakie Clinic. The period of performance is 300 calendar days from notice to proceed. The contract type will be firm fixed price. The magnitude of construction is estimated between $1 million to $5 million. The response deadline is not provided in the document.
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Text version
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-23-R-00061
Attachment J06. Company Specialized Experience – Construction Form Solicitation 75H701-23-R-00061
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.
(a) Type of Project Represented
(b) Your Firm’s Name
(c) Name of Project
(d) Location of Project
(e) Owner
(f) General Scope of Construction Project
(g) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :
(h) Construction Cost
(i) Extent and Type of Work Subcontracted Out
(j) Dates Construction: Began___________________ Completed______________ % Completed _______
(k) Your Performance Evaluation by Owner, if known
(l) Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation)
(m) Owner’s Point of Contact for Reference (Name and Company)
(n) Current Telephone Number of Reference POC
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
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