B01 RFP Attachment J04 Company Specialized Experience Construction Form (1).pdf
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- Attached to
- Maintenance Shop at Rosebud, SD
- Solicitation number
- 75H70125R00031
About this file
This is Attachment J04, a Company Specialized Experience Construction Form that contractors must complete to demonstrate their relevant construction project experience within the past seven years for solicitation 75H701-25-R-00031, a maintenance shop construction project at Rosebud Hospital in South Dakota.
The form requires detailed project information including: type of project, company name, project name, location, owner, general scope, facility type, building size and stories, contractor's role (prime/subcontractor), contract value, subcontracted work details, construction dates and completion percentage, performance evaluation, termination/liquidated damages status, and owner's point of contact information. The form is part of Factor 1 - Specialized Experience evaluation criteria and is marked as "FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)." Each contractor must complete one form per relevant project they wish to submit as past performance evidence.
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Text version
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-25-R-00031
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00031
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.
(a) Type of Project Represented
(b) Your Firm’s Name
(c) Name of Project
(d) Location of Project
(e) Owner
(f) General Scope of Construction Project
(g) Type of Facility (i.e. office building, hospital, etc.)
(h) Size of building, including number of gross square feet and number of stories
(i) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed
(j) Dollar Value of the Contract
(k) Extent and Type of Work Subcontracted Out
(l) Dates Construction: Began___________________ Completed______________ % Completed _______
(m) Your Performance Evaluation by Owner, if known
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00031
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-25-R-00031
(n) Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation)
(o) Owner’s Point of Contact for Reference (Name and Company)
(p) Current Telephone Number of Reference POC
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
File details come from the government source that posted it. Updated .