B01 Attachment J04 Company Specialized Experience Form Construction.pdf

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Attached to
Claremore Site Prep for New Clinical Modular Building
Solicitation number
75H70125R00023
Issued by

About this file

This is a Company Specialized Experience Construction Form (Attachment J04/J05) for solicitation 75H70125R00023, which contractors must complete to demonstrate their relevant construction project experience within the past 6 years. The form is designed to collect detailed information about similar scope and complexity construction projects.

The form requires contractors to provide comprehensive project details including: type of project, company name, project name, location, owner information, general scope, facility type, building size specifications, role (prime/subcontractor), contract value, subcontracted work details, construction dates, performance evaluations, liquidated damages history, and owner references with contact information. This is a template form that companies must complete as part of their proposal submission, though no specific project details are filled in on this version.

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Text version

Volume I – Factor 1 – Specialized Experience

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

Response to Solicitation 75H70125R00023

Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H70125R00023

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

Provide the following information to show examples of relevant projects your company constructed within the last six (6) years indicating experience with relevant projects of similar scope and complexity. 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 J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H70125R00023

Volume I – Factor 1 – Specialized Experience

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

Response to Solicitation 75H70125R00023

(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

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