B01 Attachment J04 - Company Specialized Experience Construction Form.docx

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Attached to
Zuni Quarters Sewer Improvement Project
Solicitation number
75H70126R00014
Issued by

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This document is a Company Specialized Experience - Construction Form template for the Zuni Quarters Sewer Improvement Project solicitation issued by the Indian Health Service (IHS). The form is designed for contractors to detail their relevant construction project experience within the past six years, requiring comprehensive information about previous projects including project type, facility details, contract value, role, work performed, subcontractor involvement, project dates, and reference contact information.

The related federal contract opportunity (Solicitation Number 75H70126R00014) involves sewer improvement work for the Zuni Quarters project. Key procurement dates include a site visit scheduled for January 7, 2026, at 11:00 AM CST, with proposal submissions due by January 26, 2026, at 2:00 PM CST. The solicitation includes multiple attachments such as plans, wage determinations, price schedule, and past performance questionnaires, indicating a comprehensive procurement process for infrastructure construction services.

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Other files

File Type Posted
B05 Attachment A3-1 Pre-Proposal Inquiries 1-49.pdf PDF
B01 Amendment No. A00003.pdf PDF
B01 Attachment J03 - Price Schedule_Rev.2 dated January 26, 2026.xlsx XLSX spreadsheet
B01 Attachment J04 - Company Specialized Experience Construction Form_Rev.1 dated January 26, 2026.docx DOCX document
B05 Attachment A2-1 Pre-Proposal Inquiries 1-48.pdf PDF
B01 Amendment No. A00002.pdf PDF
B01 Attachment J01c - Boundary Survey Plat.pdf PDF
B05 Attachment A1-1 Pre-Proposal Inquiries 1-23.pdf PDF
B01 Attachment J01b - Details.pdf PDF
B01 Attachment J02 - Wage Determination NM20260011 dated 01-02-2026.pdf PDF
B01 Amendment No. A00001.pdf PDF
B01 Attachment J01a - Technical Provisions.pdf PDF
B01 Attachment J03 - Price Schedule_Rev.1 dated January 21, 2026.xlsx XLSX spreadsheet
B01 RFP 75H70126R00014 Zuni Quarters Sewer Improvement.pdf PDF
B01 Attachment J01 - Plans.pdf PDF
B01 Attachment J02 - Wage Determination NM20250011 dated 12-12-2025.pdf PDF
B01 Attachment J03 - Price Schedule.xlsx XLSX spreadsheet
B01 Attachment J05 - Past Performance Questionnaire.docx DOCX document
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16-161-SOL-00001

NCYRTC

Attachment J07 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-26-R-00014

COMPANY SPECIALIZED 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)

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