OA 3 - Specialized Experience Form (Design).docx
DOCX document 19 KB Posted
- Solicitation number
- 75H70124R00023
About this file
The document is the Specialized Experience Form (Design) for the Warm Springs Modernization Design-Build project, which is a two-phase design-build solicitation (75H70124R00023) issued by the Indian Health Service (IHS) to expand and renovate the Warm Springs Health and Wellness Center in Warm Springs, Oregon. The project is estimated to cost more than $10 million and includes an 18,000 square foot expansion and 7,500 square foot renovation of the existing facility. The design-build contract is anticipated to commence in late 2024 with a 866-day period of performance to complete design and construction. This is a 100% small business set-aside under NAICS 236220, and the Government will short-list no more than five offerors from Phase I to compete in Phase II. The Specialized Experience Form is used to provide examples of relevant projects your company designed within the last six years that are at least 75% construction complete.
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Other files
| File | Type | Posted |
|---|---|---|
| Phase I RFQ A00001.pdf | ||
| Phase I RFQ 75H70124R00023.pdf | ||
| OA 6 - Teaming Arrangement Form.docx | DOCX document | |
| OA 4 - Key Personnel Resume Form.docx | DOCX document | |
| OA 1 - PPQ.docx | DOCX document | |
| OA 5 - Letter of Commitment (Key Personnel).docx | DOCX document | |
| OA 0 - Table 1 Construction and Design Experience Form.docx | DOCX document | |
| Attachment 1 - Solicitation Narrative 06232023.pdf | ||
| OA 2 - Specialized Experience Form (Construction).docx | DOCX document |
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Text version
16-161-SOL-00001
NCYRTC
Optional Attachment 3 Specialized Experience Form (Design Firm or In-House Design Capability) Section 1 – Factor 1 – Specialized Experience Response to Phase I Solicitation 75H70124R00023
While use of this form is not required, the same information must be provided. Provide the following information to show examples of relevant projects your company designed within the last six (6) years that are at least 75% construction complete as of the date of Phase I proposal submission. 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 Summary of Your Role in Design of this Project Identify Estimated (“E”) or Actual (“A”) Construction Cost Extent and Type of Work You Subcontracted Dates Design: Began___________________ Completed______________ Dates Construction: Began___________________ Completed______________ Your Performance Evaluation, 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
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
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