Attachment J06 Company Technical Experience Construction Form.docx

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Attached to
Lame Deer Heliport Reconstruction
Solicitation number
75H70125R00066
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The document is an Attachment J06 Company Technical Experience Construction Form for Solicitation Number 75H701-25-R-00066, designed to capture detailed information about a company's prior construction project experience. The form requires bidders to provide comprehensive details about a specific project, including project type, location, owner, facility type, project size, company role, contract value, subcontracted work, construction dates, performance evaluation, and reference contact information. This template is part of the source selection process for the Lame Deer Heliport Reconstruction project, which involves demolition and replacement of a heliport at the Northern Cheyenne Health Center in Lame Deer, Montana, with an anticipated project value between $1,000,000 and $5,000,000. The project is being solicited by the Indian Health Service with a 120-calendar day performance period and will be awarded as a Firm Fixed Price contract.

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Text version

16-161-SOL-00001

NCYRTC

Attachment J05 - Company Technical Experience Solicitation Number: 75H701-25-R-00066

COMPANY TECHNICAL EXPERIENCE – CONSTRUCTION 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 Type of Facility (i.e. office building, hospital, etc.)

Size of building, including number of gross square feet and number of stories Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed Dollar Value of the Contract 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 75H701-25-R-00066

File details come from the government source that posted it. Updated .