J05 Company Specialized Experience Form Construction.pdf

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Attached to
U&O Pavement in Fort Duchesne, Utah, Uintah County
Solicitation number
75H701-25-R-00051
Issued by

About this file

Attachment J05 is a Company Specialized Experience Form for a construction project solicitation. The form requires detailed documentation of a company's relevant construction projects within the past six years, including project type, location, owner, scope, facility type, building size, contract role, contract value, work performed, construction dates, performance evaluation, and reference contact information. Bidders must complete one form per project to demonstrate specialized experience, with sections capturing comprehensive details about each construction project to support their technical qualification for the solicitation.

The associated federal contract opportunity is for U&O Pavement in Fort Duchesne, Utah, with a solicitation number of 75H701-25-R-00051. The Indian Health Service is seeking a Firm Fixed Price contract for replacing asphalt paving, constructing new parking areas, restriping lots, replacing concrete infrastructure, correcting drainage issues, and installing irrigation lines at the Fort Duchesne PHS Indian Health Center. The project is valued between $1-5 million, has a 365-calendar day performance period, and is 100% set aside for Indian Small Business Economic Enterprise (ISBEE) under NAICS code 237310, with a small business size standard of $45 million in average annual revenue.

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Attachment J05 - Company Specialized Experience – Construction Form Solicitation Number: 75H701-25-R-00051

Volume I – Factor 1 – Specialized Experience

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

Response to Solicitation 75H701-25-R-00051

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-00051

Volume I – Factor 1 – Specialized Experience

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

Response to Solicitation 75H701-25-R-00051

(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 .