B01 Attachment J05 - Company Specialized Experience Construction Form.docx
DOCX document 24 KB Posted
- Attached to
- LED Lighting Replacement at Pine Ridge Hospital
- Solicitation number
- 75H70126R00029
About this file
This is a Company Specialized Experience - Construction Form template designed for contractors to demonstrate relevant project experience in response to Solicitation No. 75H70126R00029 for LED Lighting Replacement at Pine Ridge Hospital. The form requires contractors to document up to six years of completed construction projects with similar type and scope to the solicited work.
The form requests comprehensive project information including: project type, contractor firm name, project name and location, project owner, general scope and facility type, building size measured in gross square feet and number of stories, the contractor's role (prime, joint venture, or subcontractor), nature of self-performed work, total contract dollar value, extent and type of subcontracted work, construction timeline with percentage completion status, owner performance evaluation, any terminations or liquidated damages assessments with explanations if applicable, and owner reference contact information with current telephone number. Contractors must submit one completed form per project to support their qualifications. This form serves as a critical evaluation tool for Source Selection purposes and is marked as Source Selection Sensitive and For Official Use Only under FAR 3.104.
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Text version
16-161-SOL-00001
NCYRTC
Attachment J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-26-R-00029
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 .