B01 RFP ATTACHMENT J05 - Company Specialized Experience Form Construction.pdf
PDF 128 KB Posted
- Attached to
- DZ Health Center HVAC Upgrade
- Solicitation number
- 75H70123R00026
About this file
This document contains details for a federal contract solicitation for HVAC upgrade services at the Dzilth-NA-O-Dith-Hle Health Center in Bloomfield, New Mexico. The solicitation will be awarded as a 100% small business set-aside, with a magnitude between $1,000,000 to $5,000,000. The scope of work involves upgrading existing HVAC equipment including air handling units, roof top units, and building automation systems. The period of performance is 230 calendar days from notice to proceed. The Indian Health Service intends to award a firm fixed price contract and will evaluate proposals using lowest price technically acceptable criteria. The pre-bid site visit will take place on May 11, 2023, with all subsequent dates subject to change.
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FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last five (5) 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) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :
(h) Construction Cost
(i) Extent and Type of Work Subcontracted Out
(j) Dates Construction: Began___________________ Completed______________ % Completed _______
(k) Your Performance Evaluation by Owner, if known
(l) Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation)
(m) Owner’s Point of Contact for Reference (Name and Company)
(n) Current Telephone Number of Reference POC
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
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