B01 Attachment J04 Company Specialized Experience Construction Form.pdf
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- Solicitation number
- 75H70126R00020
About this file
This is a construction company specialized experience form template (Attachment J04) for federal solicitation 75H701-26-R-00020, used to evaluate contractor qualifications under Volume II – Factor 1 – Specialized Experience evaluation criteria.
The form requires companies to document construction project experience within the last six years to demonstrate capability on similar work. Respondents must complete one form per project and provide comprehensive project details including: project type and facility classification; company name and role (prime, joint venture, or subcontractor); project name, location, and owner; general scope of construction work; building size in gross square feet and number of stories; contract dollar value; extent and type of subcontracted work; construction dates and completion percentage; and owner performance evaluation. The form also requests information regarding any contract terminations or assessed liquidated damages, with mandatory explanation if applicable, and requires owner reference contact information including name, company affiliation, and current telephone number. This template serves as a standardized means for source selection officials to assess whether prospective contractors possess the requisite specialized experience and performance history relevant to the federal construction contract opportunity being solicited.
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Text version
Volume II – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-26-R-00020
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-26-R-00020
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.
(a) Type of Project Represented
(b) Your Firm’s Name
(c) Name of Project
(d) Location of Project
(e) Owner
(f) General Scope of Construction Project
(g) Type of Facility (i.e. office building, hospital, etc.)
(h) Size of building, including number of gross square feet and number of stories
(i) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed
(j) Dollar Value of the Contract
(k) Extent and Type of Work Subcontracted Out
(l) Dates Construction: Began___________________ Completed______________ % Completed _______
(m) Your Performance Evaluation by Owner, if known
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-26-R-00022
Volume II – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-26-R-00020
(n) Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation)
(o) Owner’s Point of Contact for Reference (Name and Company)
(p) Current Telephone Number of Reference POC
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
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