J05 - Company Specialized Experience Form Construction.pdf
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- Attached to
- Whiteriver Administration Office Building
- Solicitation number
- 75H701-23-R-00022
About this file
This document provides details for a federal construction solicitation. The Indian Health Service is seeking a contractor to construct a new 14,557 square foot administration office building at the Whiteriver Indian Hospital in Whiteriver, Arizona for between $5-10 million. The scope of work includes structure demolition, site work, utilities, and mechanical, electrical and telecommunication systems. The period of performance is 335 calendar days from notice to proceed. A site visit is scheduled and contractors must be registered in SAM. The solicitation will use LPTA evaluation and award a firm fixed price contract. The response deadline is not provided.
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Attachment J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-23-R-00022
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-23-R-00022
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last seven
(7) 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 J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-23-R-00022
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-23-R-00022
(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 .