B01 RFP Attachment J04 Company Specialized Experience Construction Form.pdf

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Attached to
Upgrade Fire Alarm and Devices at Pine Ridge
Solicitation number
75H70124R00006
Issued by

About this file

This document is the Company Specialized Experience - Construction Form, which is an attachment to the Request for Proposal (RFP) Solicitation Number 75H701-25-R-00006 for the Upgrade Fire Alarm Panel and Devices at Pine Ridge project.

The key details are:

  • The project is a construction contract for the Indian Health Service (IHS) to upgrade the fire alarm panel and devices at the Pine Ridge Hospital in Pine Ridge, SD.
  • The construction project is estimated to be between $250,000 and $500,000 in value and has a 270-calendar day period of performance.
  • This is a 100% Small Business set-aside under NAICS code 236220 Commercial and Institutional Building Construction.
  • Offerors must provide details on their past experience with similar construction projects, including project type, scope, dollar value, dates, and owner performance evaluations.
  • The RFP will be evaluated using Lowest Price Technically Acceptable (LPTA) criteria, and proposals are due on December 5, 2024 at 2:00 PM PT.

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Volume I – Factor 1 – Specialized Experience

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

Response to Solicitation 75H701-24-R-00032

Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00006

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.

(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: 75H701-24-R-00032

Volume I – Factor 1 – Specialized Experience

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

Response to Solicitation 75H701-24-R-00032

(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 .