J05 Company Specialized Experience Form Construction.pdf
PDF 464 KB Posted
- Attached to
- PIMC Mechanical Projects: HVAC and Central Plant & Isolation Rooms in Phoenix, AZ, Maricopa, County
- Solicitation number
- 75H701-25-R-00001
About this file
This is a Company Specialized Experience Construction Form (Attachment J05) for solicitation 75H701-25-R-00001, which contractors must complete to demonstrate relevant construction project experience within the past 6 years. The form requires detailed project information including type, location, owner, scope, facility type, building size, role (prime/sub/JV), dollar value, subcontracted work, construction dates, performance evaluations, and reference contact information.
The form is part of Volume I - Factor 1 (Specialized Experience) for a solicitation related to mechanical HVAC projects at the Phoenix Indian Medical Center. It includes fields for contractors to document if they were terminated or assessed liquidated damages on previous projects. The form emphasizes the need to show experience with projects of similar scope and complexity, indicating this is a key evaluation factor for the solicitation. Each form is meant to document one project, suggesting contractors may submit multiple forms to demonstrate their relevant experience.
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Text version
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-25-R-00001
Attachment J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00001
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of relevant projects your company constructed within the last six (6) years indicating experience with relevant projects of similar scope and complexity. 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: 75H701-25-R-00001
Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-25-R-00001
(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
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