B01 Attachment J05 Company Specialized Experience Form.docx
DOCX document 21 KB Posted
- Attached to
- Eagle Butte LED Efficient Lighting Federal contract opportunity
- Solicitation number
- 75H70125R00060
About this file
The file is a Company Specialized Experience Form template for a construction contract solicitation. The form is designed for contractors to provide detailed information about their past construction projects, including project type, location, owner, scope, facility type, building size, contract value, role, work performed, subcontractor details, project dates, performance evaluation, and reference contact information. This template is specifically part of Solicitation Number 75H701-25-R-00060 for the Eagle Butte LED Efficient Lighting project, which requires contractors to demonstrate relevant specialized experience in construction projects completed within the last six years. The form is intended to help evaluate a contractor's qualifications and past performance for the Indian Health Service project at the Cheyenne River Health Center.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B05 75H70125R00060 Amendment 02.pdf | ||
| B05 75H70125R00060 Amendment 01.pdf | ||
| B03 Prebid Meeting Sign In.pdf | ||
| B01 Attachment J01 Lighting Locations.pdf | ||
| B01 RFP 75H70125R00060.pdf | ||
| B01 Attachment J06 Past Performance Questionnaire.docx | DOCX document | |
| B01 Attachment J07 IHS IEE Representation Form.pdf | ||
| B01 Attachment J04 Wage Decision SD20250024.pdf | ||
| B01 Attachment J02 Light Schedule.pdf | ||
| B01 Attachment J03 Self Performed Calculation Sheet.docx | DOCX document |
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Text version
16-161-SOL-00001
NCYRTC
Attachment J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00060
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)
Response to Solicitation 75H701-25-R-00060
File details come from the government source that posted it. Updated .