J04 Company Specialized Experience Construction Form.docx
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- Attached to
- Parker Indian Health Center (PIHC) Roof Repair by Replacement in Parker, AZ, La Paz County
- Solicitation number
- 75H701-24-R-00020
About this file
This solicitation notice is for roof repair and replacement services at the Parker Indian Health Center in Parker, Arizona. The Indian Health Service intends to award a single firm fixed price contract valued between $1,000,000 and $5,000,000 to replace the existing facility roof that has reached the end of its useful life. The new roof system will provide a 15-20 year lifespan. The period of performance is 120 calendar days from notice to proceed. The solicitation will use lowest price technically acceptable source selection procedures and be set aside for small businesses with average annual revenue less than $19 million. A mandatory pre-proposal site visit will be held and all documents will be available electronically with no hard copies provided.
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Text version
16-161-SOL-00001
NCYRTC
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-24-R-00020
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.
Type of Project Represented Your Firm’s Name Name of Project Location of Project Owner General Scope of Construction Project Type of Facility (i.e. office building, hospital, etc.)
Size of building, including number of gross square feet and number of stories Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed Dollar Value of the Contract Extent and Type of Work Subcontracted Out Dates Construction: Began___________________ Completed______________ % Completed _______ Your Performance Evaluation by Owner, if known
Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation) Owner’s Point of Contact for Reference (Name and Company) Current Telephone Number of Reference POC
SOURCE SELECTION SENSITIVE For Official Use Only Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-24-R-00020
File details come from the government source that posted it. Updated .