J04 Company Specialized Experience Construction Form.docx

DOCX document 21 KB Posted

Attached to
Pine Ridge, Kyle, Wanblee Multiple Duplex Sitework & Foundations Federal contract opportunity
Solicitation number
75H701-24-R-00039
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document is a "Company Specialized Experience - Construction Form" that requests information related to a federal contract opportunity. The form asks the company to provide details on a construction project completed within the past 6 years that is similar in type and scope to the current opportunity. Requested information includes the project type, location, owner, scope, facility type, project size, the company's role, contract value, subcontracted work, construction timeline, performance evaluation, and points of contact for references.

The related federal contract opportunity is for a construction project to procure site preparation, utility installations, foundations, driveways, and garages for 12 duplexes to be built in Pine Ridge, Kyle, and Wanblee, South Dakota. The contract will be a single Firm Fixed Price award with a Period of Performance of 730 calendar days. The estimated contract value is between $5,000,000 and $10,000,000. This is a Lowest Price Technically Acceptable solicitation issued by the Indian Health Service under FAR Part 36 procedures. Small businesses with average annual revenue under $45 million are eligible to compete.

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Text version

16-161-SOL-00001

NCYRTC

Attachment J04 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-24-R-00039

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 .