J05 Company Specialized Experience Form Construction.pdf

PDF 540 KB Posted

Attached to
PIMC Pharmacy, ATS & Standpipe Federal contract opportunity
Solicitation number
75H701-25-R-00029
Issued by
Department of Health and Human Services Indian Health Service

About this file

The document is a Company Specialized Experience – Construction Form (Attachment J05) for Solicitation 75H701-25-R-00029, designed to capture detailed information about a company's previous construction projects. The form requires bidders to provide comprehensive project details including project type, location, owner, scope, facility type, building size, company role, contract value, work performed, construction dates, performance evaluation, termination history, and reference contact information. This form is intended to demonstrate a company's relevant experience and capability in construction projects completed within the last six years, serving as a key evaluation criterion for the solicitation's specialized experience factor.

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J02 WD AZ20250039 Mod 8 2025.08.29.pdf PDF
B05 Amendment A00006 to 75H701-25-R-00029 2025.09.08.pdf PDF
B01 RFP 75H701-25-R-00029 (Conformed thru A00006).pdf PDF
J01a Specifications - PIMC Pharmacy ATS Standpipe w-Addendum 1 2025.09.04.pdf PDF
J01g Addendum 01.pdf PDF
J01b Drawings - PIMC Pharmacy ATS Standpipe w-Addendum 1 2025.09.04.pdf PDF
B05 Amendment A00005 to 75H701-25-R-00029 2025.08.28.pdf PDF
B01 RFP 75H701-25-R-00029 (Conformed thru A00005).pdf PDF
B05 Amendment A00004 to 75H701-25-R-00029 2025.08.20.pdf PDF
B05 Amendment A00003 to 75H701-25-R-00029 2025.08.19.pdf PDF
B05 Amendment A00002 to 75H701-25-R-00029 2025.08.11.pdf PDF
B05 Amendment A00001 to 75H701-25-R-00029 2025.07.31.pdf PDF
J02 WD AZ20250039 Mod 6 2025.07.25.pdf PDF
J01c Location Map.pdf PDF
J01d Preliminary Commissioning Plan - PIMC Inpatient Pharmacy.pdf PDF
J01e Infection Control Risk Assessment Permit.pdf PDF
J01f Above Ceiling Work Permit.pdf PDF
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J01b Drawings - PIMC Pharmacy ATS Standpipe 2025-04-25.pdf PDF
J04a FORMS_TPT_5000HC_11228.pdf PDF
J06 PPQ.pdf PDF
J07 IHS IEE Representation Form.pdf PDF
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B01 RFP 75H701-25-R-00029 PIMC Pharmacy ATS Standpipe.pdf PDF
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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-00029

Attachment J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00029

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-00029

Volume I – Factor 1 – Specialized Experience

FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)

Response to Solicitation 75H701-25-R-00029

(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 .