B01 Attachment J06 Company Specialized Experience Form Construction.docx
DOCX document 21 KB Posted
- Attached to
- Peach Springs Staff Quarters Federal contract opportunity
- Solicitation number
- 75H70124R00009
About this file
This document is a template form for companies to provide details of relevant past construction projects to demonstrate specialized experience for the federal solicitation number 75H70124R00009 for the Peach Springs Staff Quarters opportunity through the Department of Health and Human Services Indian Health Service. Companies are to fill in project details including the type and size of facility, dollar value, subcontracting details, performance ratings, and references for up to seven relevant past projects demonstrating experience with similar size and type of construction projects. The form requests key information about the company's role, work self-performed, evaluation by the owner, whether terminated or assessed liquidated damages, and point of contact for reference.
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Text version
16-161-SOL-00001
NCYRTC
Attachment J06 - Company Specialized Experience – Construction Form Solicitation Number: 75H70124R00009
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last seven (7) 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 75H70124R00009
File details come from the government source that posted it. Updated .