J08 Company Specialized Experience Form.docx
DOCX document 20 KB Posted
- Attached to
- Replace Heating Plant
- Solicitation number
- 75H70122R00036
About this file
This document contains a form for contractors to provide examples of previous specialized experience relevant to the solicitation. The form requests information on up to seven previous construction projects, including the type and location of each project, the contractor's role, construction costs, subcontracting details, performance dates, and references. Contractors must fill out one form for each example project provided to demonstrate their experience with projects similar in type and scope to replacing the heating plant at the Pine Ridge Hospital in Pine Ridge, South Dakota, as required by solicitation number 75H701-22-R-00036 from the Department of Health and Human Services Indian Health Service. Relevant details include construction as the work type, a cost of over $2 million, and previous experience performing similar specialized work for the federal government or other owners.
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Text version
16-161-SOL-00001
NCYRTC
Attachment 08- Company Specialized Experience Solicitation 75H701-22-R-00036
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION 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.
Type of Project Represented Your Firm’s Name Name of Project Location of Project Owner General Scope of Construction Project Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed :
Construction Cost Extent and Type of Work Subcontracted Out Dates Construction: Began___________________ Completed______________ % Completed _______ Your Performance Evaluation by Owner, if known Were You Terminated or Assessed Liquidated Damages?
(If either is “Yes”, attach an Explanation) Owner’s Point of Contact for Reference (Name and Company) Current Telephone Number of Reference POC
SOURCE SELECTION SENSITIVE For Official Use Only Volume I – Factor 1 – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Response to Solicitation 75H701-22-R-00036
File details come from the government source that posted it. Updated .