B01 Att J09 - Key Personnel Resume Form.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 notice is for Solicitation Number 75H70123R00024, a construction services project for the Whiteriver Hospital Backup Generator Installation located in Whiteriver, Arizona. The scope of work involves renovating the essential electrical system at Whiteriver Hospital to accommodate an additional backup generator. The period of performance is 180 calendar days from notice to proceed, and the magnitude of construction is estimated between $500,000 and $1,000,000. A pre-bid site visit will take place on May 15, 2023 at 2:00pm local time. The Indian Health Service intends to award a firm fixed price contract through a request for proposal evaluated using lowest price technically acceptable criteria. Offerors must register in the System for Award Management database to be considered.

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Text version

16-161-SOL-00001

NCYRTC

Attachment J09. Key Personnel Resume Form

KEY PERSONNEL RESUME

Provide information, listed below, on separate sheets showing qualifications of: prime contractor’s Project Manager, Project Site Superintendent and SSHO. Use a continuation sheet, if needed.

Your Name and Title Your Assignment on this Project Name of Your Firm No. of Years: With this Firm__________ With other Firms____________ Education: Degree(s)/Year/Specialization Active Registration, if any: No._______, State(s) ______, First Year/ Current Year ______/______ Type of Registration __________________________ (P.E., R.A., LEED-AP, etc.)

Describe Your Specific Experience and Qualifications Relevant to this Project:

SOURCE SELECTION SENSITIVE For Official Use Only

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

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