B01 Att J07 - Company Specialized Experience Form Construction.docx

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Attached to
Whiteriver Hospital Backup Generator Federal contract opportunity
Solicitation number
75H70123R00024
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains a notice for solicitation number 75H70123R00024 seeking construction services for a Whiteriver Hospital Backup Generator Installation project located in Whiteriver, Arizona. The scope of work involves renovating the existing hospital's essential electrical system to accommodate an additional backup generator, excluding generator procurement. The period of performance is 180 calendar days from notice to proceed. The construction magnitude is estimated between $500,000 to $1,000,000. A pre-bid site visit is scheduled for May 15, 2023 at 2:00PM MST. The contract type is firm fixed price. The solicitation will use lowest price technically acceptable evaluation and be set aside for small businesses with average annual revenues less than $22 million over the past three years.

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Text version

16-161-SOL-00001

NCYRTC

Attachment J07 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-23-R-00024

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 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 75H701-23-R-00024

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