J04 Company Specialized Experience Construction Form.docx
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- Solicitation number
- 75H70124R00025
About this file
This document is the Company Specialized Experience - Construction Form, which is an attachment to a federal solicitation. The solicitation is for a pharmacy renovation project at the Wagner IHS Healthcare Facility located in Wagner, South Dakota. The solicitation number is 75H70124R00025.
The form requires the company to provide information about similar construction projects it has completed within the last 6 years, including the type of project, the company's role, the contract value, the scope of work, the construction timeline, and any performance evaluations or issues. The form also requests the owner's point of contact for a reference. This information is intended to demonstrate the company's specialized experience relevant to the construction work required under the solicitation.
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Text version
16-161-SOL-00001
NCYRTC
Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-24-R-00025
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)
File details come from the government source that posted it. Updated .