Attachment J07 Company Technical Experience Construction Sheet.docx
DOCX document 25 KB Posted
- Attached to
- Whiteriver Hospital Construction
- Solicitation number
- 75H70126R00016
About this file
This is a Company Technical Experience – Construction Form template designed for the Whiteriver Hospital Construction solicitation (75H70126R00016). The form is used to demonstrate a contractor's relevant construction experience from projects completed within the past ten years that are similar in type and scope to the hospital construction project.
The form requires contractors to provide detailed project information including the project name, location, owner, facility type, building size in gross square feet and number of stories, the contractor's role (prime, joint venture, or subcontractor), dollar value of the contract, construction dates, percentage of work completed, performance evaluation by the owner, and whether the contractor was terminated or assessed liquidated damages. Additionally, contractors must identify the extent and type of work subcontracted and provide the owner's point of contact for reference verification, including current contact information. This template serves as an evaluation tool for assessing specialized experience as part of the source selection process for the Indian Health Service's 407,000 square foot hospital replacement project in Whiteriver, Arizona.
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Text version
16-161-SOL-00001
NCYRTC
Attachment - Company Technical Experience – Construction Form Solicitation Number: 75H70126R00016
COMPANY TECHNICAL EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last ten (10) 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 75H70126R00016
File details come from the government source that posted it. Updated .