J06 Company Specialized Experience Form.pdf
PDF 132 KB Posted
- Attached to
- Billings Area Asphalt and Concrete Repair
- Solicitation number
- 75H701-21-R-00005
About this file
This document contains a company specialized experience form and details of a federal contract opportunity for asphalt and concrete repair services. The contract opportunity is a 100% small business set aside between $1,000,000 to $5,000,000 issued by the Indian Health Service seeking asphalt and concrete repair at facilities in Montana and Wyoming. The NAICS code is 238990. Proposals are due January 18, 2021 with all questions to be submitted to the contract specialist no later than December 28, 2020. A non-mandatory site visit will also be held. The company specialized experience form requires details on similar past projects over the last seven years for reference and to demonstrate experience with projects of comparable size and scope.
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J06 Company Specialized Experience Form Solicitation 75H701-21-R-00005
Volume I – Factor 1 –Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-21-R-00005
COMPANY SPECIALIZED EXPERIENCE 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) Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :
(h) Construction Cost
(i) Extent and Type of Work Subcontracted Out
(j) Dates Construction: Began___________________ Completed______________ % Completed _______
(k) Your Performance Evaluation by Owner, if known
(l) Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation)
(m) Owner’s Point of Contact for Reference (Name and Company)
(n) Current Telephone Number of Reference POC
COMPANY SPECIALIZED EXPERIENCE FORM
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