J09 Company Specialized Experience Form Construction.pdf

PDF 1 MB Posted

Attached to
Multi-Door Replacement & Repair Federal contract opportunity
Solicitation number
75H70125R00065
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document is an Attachment J09 Company Specialized Experience – Construction Form for Solicitation Number 75H70125R00065 for Multi-Door Replacement & Repair. The form is designed for contractors to demonstrate their relevant construction project experience within the last six years by providing comprehensive details about previous projects.

The form requires detailed information including project type, company name, project name, location, owner, general construction scope, facility type, building size, company's role, contract value, work performed, subcontracted work, construction dates, performance evaluation, termination history, and owner reference contact information. This form serves as a critical component of the technical proposal, allowing potential contractors to showcase their expertise and past performance in construction projects similar to the multi-door replacement and repair solicitation.

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Volume I – Factor 1 – Technical

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

Attachment J09 - Company Specialized Experience – Construction Form Solicitation Number: 75H70125R00065 Multi-Door Replacement & Repair

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 J09 - Company Specialized Experience – Construction Form Solicitation Number: 75H70125R00065 Multi-Door Replacement & Repair

(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

Volume I – Factor 1 – Technical

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

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

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