B01 Attachment J08 Company Specialized Experience Form Construction.docx

DOCX document 21 KB Posted

Attached to
Crownpoint Staff Quarters Replacement Federal contract opportunity
Solicitation number
75H70124R00004
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document is a template form for companies to provide information on specialized construction experience relevant to Federal Solicitation Number 75H701-24-R-00004 issued by the Department of Health and Human Services Indian Health Service. The form requests details on up to three past construction projects within the last seven years, including project name, location, owner, general scope of work, facility type, size in square feet and stories, company's role, dollar value, subcontracting details, dates, performance evaluation if known, and reference contact. The related federal contract opportunity is for the Crownpoint Staff Quarters Replacement project. Companies are to complete the form to demonstrate relevant construction experience for the solicitation.

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NM20240002.pdf PDF
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B01 Attachment J11 - CPSQ SITEWORK PHASING C004.pdf PDF
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B01 Attachment J07 Subcontracting Plan.docx DOCX document
B01 Attachment J05 Location Map.pdf PDF
B01 Attachment J02 CPSQ 100CD Drawings.pdf PDF
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B01 Attachment J01 WD NM20230002.pdf PDF
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B01 Attachment J03 CPSQ 100CD Specification.pdf PDF
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Text version

16-161-SOL-00001

NCYRTC

Attachment J08 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-24-R-00004

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 75H701-23-R-00024

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