Attachment J11 Company Technical Experience Construction Form.docx
DOCX document 21 KB Posted
- Attached to
- Pueblo Pintado Health Center Construction
- Solicitation number
- 75H70125R00026
About this file
This is a Company Technical Experience Form (Attachment J11) that contractors must complete to demonstrate their construction experience for the Pueblo Pintado Health Center Construction project (Solicitation #75H701-25-R-00026). The form requires contractors to provide details about similar construction projects completed within the last 6 years, including project type, location, scope, facility type, building size, role (prime/subcontractor), contract value, subcontracted work, construction dates, performance evaluations, and reference contact information.
The form is related to a larger solicitation for constructing a new 125,884 square foot healthcare facility in Pueblo Pintado, New Mexico for the Indian Health Service. This experience form serves as a template for contractors to document their relevant past performance and capabilities in healthcare or similar institutional construction projects. The form itself does not contain specific requirements or scope details, but rather is a standardized format for capturing contractor qualifications.
View the file
Other files
Show all 37
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
16-161-SOL-00001
NCYRTC
Attachment J11 - Company Technical Experience – Construction Form Solicitation Number: 75H701-25-R-00026
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 75H701-24-R-00011
File details come from the government source that posted it. Updated .