J06 Company Specialized Experience Form.docx
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- Solicitation number
- 75H70122R00045
About this file
This document contains a specialized experience questionnaire and details for a federal contract solicitation for construction services. The specialized experience questionnaire requests information on at least three but no more than five relevant past construction projects at least 75% complete or completed within the last seven years, including project name and number, prime/subcontractor role, dates, value, location, completion date, scope, and reference contacts.
The solicitation is for the Shitike Creek Water Main Crossing construction project for the Indian Health Service in Warm Springs, Oregon. The 100% small business set-aside project involves water and sewer line and related structure construction. The performance period is 150 calendar days with a magnitude between $1,000,000 to $5,000,000. The location is at the intersection of Wolford Canyon Road and Hollywood Boulevard. The solicitation will result in a firm-fixed price contract awarded to the lowest price technically acceptable offeror, with preference given to Indian Economic Enterprises. Proposals are due by June 20, 2022. The site visit is planned and registration in SAM is required to be eligible for award.
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Text version
Specialized Experience Questionnaire Company Information
Company Name
Website
Physical Address
SAM UEI Number
Company Size (e.g. small business, large business, small disadvantaged business, Indian Economic Enterprise, etc.)
Volume I, Technical Proposal, Factor I – Specialized Experience
In accordance with Section L, submit projects at least 75% construction complete or completed within the last seven (7) years that are similar in size, complexity, and scope to the requirements of the project solicitation. Submit at least three (3) but no more than five (5) examples.
PROJECT 1 Name / No.
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 2 Name / No.
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 3 Name / No.
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 4 Name / No.
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 5 Name / No.
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
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