B01 RFP Attachment J04 Company Specialized Experience Construction Form.pdf
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- Solicitation number
- 75H70125R00027
About this file
This is a Company Specialized Experience Construction Form (Attachment J04) required for submission with solicitation 75H701-25-R-00027 for the Roof Replacement project at Little Shell Tribal Health Clinic. The form requires contractors to provide detailed information about their construction projects completed within the last 6 years that demonstrate similar experience and scope.
The form requests specific project details including: type of project, company name, project name and location, owner information, general scope, facility type, building size and stories, role (prime/subcontractor), contract value, subcontracted work details, construction dates and completion percentage, performance evaluations, any terminations or liquidated damages, and owner point of contact information. This template form appears to be used for technical evaluation purposes, with each contractor required to complete one form per relevant past project to demonstrate their specialized construction experience.
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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-00027
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00027
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: 75H701-25-R-00027
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-25-R-00027
(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 .