B01 Attachment J11 Key Personnel Resume Form.pdf

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Attached to
Mid-Atlantic Tribal Health Clinic Renovation and Expansion
Solicitation number
75H701-22-R-00051
Issued by

About this file

This solicitation requests proposals for the renovation and expansion of the Mid-Atlantic Tribal Health Clinic in Charles City, Virginia. The project includes renovating approximately 27,195 square feet of an existing building leased from the Chickahominy Indian Tribe to provide expanded health care services to Native Americans in the region, including primary care, dental, behavioral health, pharmacy, optometry, telehealth, and diabetic care. The contractor will be responsible for all labor, materials, equipment, supervision, testing, and other necessary work to complete the project, which has a construction value over $10 million. The period of performance is 365 calendar days from notice to proceed. A site visit will be held on June 16th at 2PM at the project address. This is a 100% small business set-aside solicitation with preference given to verified Indian Economic Enterprise firms. The response deadline is July 15th, 2022. Proposals will be evaluated using a best value tradeoff methodology. The contract type will be firm fixed price.

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Attachment J11 - Key Personnel Resume Form Solicitation 75H701-22-R-00051

Volume 1 – Factor 3 – Key Personnel

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

Response to Solicitation 75H701-22-R-00039

KEY PERSONNEL RESUME

Provide information, listed below, on separate sheets showing qualifications of Prime contractor’s Project Manager responsible for construction, Project Site Superintendent and Safety Officer. Use a continuation sheet, if needed.

(a) Your Name and Title

(b) Your Assignment on this Project

(c) Name of Your Firm

(d) No. of Years: With this Firm __________ With other Firms____________

(e) Education: Degree(s)/Year/Specialization

(f) Active Registration, if any: No._______, State(s) ______, First Year/ Current Year ______/______

(g) Type of Registration __________________________ (P.E., R.A., LEED-AP, etc.)

(h) Describe Your Specific Experience and Qualifications Relevant to this Project:

KEY PERSONNEL RESUME
____________________________________________________________________________________

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