B01 Attachment J04 Company Specialized Experience Form Construction.pdf
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- Solicitation number
- 75H70125R00039
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The document is a Company Specialized Experience - Construction Form (Attachment J04) for Solicitation Number 75H70125R00039, designed to capture detailed information about a company's previous construction projects. The form requires contractors to provide comprehensive project details including project type, location, owner, general scope, facility type, building size, contract value, role, work performed, subcontracting information, construction dates, performance evaluation, termination status, and reference contact information. This form is part of the Indian Health Service's solicitation for a generator project across three health centers in Montana and Wyoming, which is structured as a 100% Small Business set-aside under NAICS 236220 with a $45 million size standard.
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Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H70125R00039
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H70125R00039
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: 75H70125R00039
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H70125R00039
(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 .