Attachment J20 - Company Specialized Experience Form.docx
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- Solicitation number
- 75H701-23-R-00001
About this file
This solicitation seeks proposals for maintenance and improvement renovations at the Phoenix Indian Medical Center in Phoenix, Arizona. The scope of work includes abatement of asbestos flooring and replacement with new flooring, ceiling tile replacement, mechanical HVAC improvements, interior and exterior painting, roof replacement, construction of a new trash enclosure, fire sprinkler inspection and replacement, and fire alarm panel upgrade. The period of performance is 300 calendar days. The contract value is anticipated to be between $1,000,000 and $5,000,000. Interested parties may attend a site visit detailed in the solicitation. Proposals are due in accordance with the solicitation and will be evaluated using lowest price technically acceptable criteria. The Department of Health and Human Services Indian Health Service intends to award a single firm fixed price contract.
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Text version
16-161-SOL-00001
NCYRTC
Attachment J20. Company Specialized Experience – Construction Form Solicitation 75H701-23-R-00001
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 75H701-23-R-00001
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