B01 Att J06 - Company Specialized Experience Form Construction.docx

DOCX document 20 KB Posted

Attached to
Crow Transfer Station Improvements Federal contract opportunity
Solicitation number
75H70122R00073
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains a template form for companies to provide information on specialized construction experience relevant to the Crow Waste Transfer Stations Renovations project. The form requests details on up to five similar projects completed in the past five years, including the project name and location, owner information, general scope of work, the respondent's role and self-performed work, construction costs, subcontracted work, dates of construction, and performance references.

The related federal contract opportunity is a solicitation issued by the Department of Health and Human Services Indian Health Service for renovations to the Crow Waste Transfer Stations. The estimated value of construction is between $500,000 and $1,000,000, with a 150-day performance period from notice to proceed. A site visit is scheduled as outlined in provision L.8. Responses to the full and open solicitation are due as specified in the attachments.

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Other files for this federal contract opportunity

Other files attached to Crow Transfer Station Improvements, newest first.
File Type Posted
B05 Amend A0002.pdf PDF
B05 Amend A0001.pdf PDF
B01 Att J04 Plans Crow Transfer Stations for Construction.pdf PDF
B01 Att J03 Specs 20-120 Crow Waste Transfer.pdf PDF
B01 RFP.pdf PDF
B01 Att J02 Wage Determination MT20220076.pdf PDF
B01 Att J05 - PPQ.docx DOCX document
B01 Att J01 Subcontracting Plan.pdf PDF

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Text version

16-161-SOL-00001

NCYRTC

Attachment J06. Company Specialized Experience – Construction Form Solicitation 75H701-22-R-00073

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

Provide the following information to show examples of projects your company constructed within the last five (5) 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 75H701-22-R-00073

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