OA 3 - Specialized Experience Form (Design).docx
DOCX document 20 KB Posted
- Solicitation number
- 75H70126R00002
About this file
The document is a Specialized Experience Form for a design-build project for the Alamo Navajo Health Center. The form is part of Phase I solicitation (Solicitation Number 75H70126R00002) issued by the Indian Health Service (IHS), seeking detailed project experience from design firms. The form requires contractors to provide comprehensive information about previous relevant projects, including project type, scope, design and construction dates, estimated/actual construction costs, subcontracted work, performance evaluations, and reference contact information.
The associated federal contract opportunity involves constructing a new 70,000-square-foot health center on the Alamo Navajo Indian Reservation in New Mexico. The project is estimated to cost between $80-120 million, classified under NAICS Code 236220 for Commercial and Institutional Building Construction, and is open to both large and small businesses on an unrestricted basis. The new facility will serve approximately 2,650 tribal residents, replacing the existing IHS clinic and expanding services to include ambulatory care, medical, dental, diagnostic imaging, physical therapy, pharmacy, public health nursing, nutrition, and emergency medical services.
View the file
Other files
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
16-161-SOL-00001
NCYRTC
75H70126R00002 Alamo Navajo Health Center Design-Build Optional Attachment 3 Specialized Experience Form (Design Firm or In-House Design Capability) Section 1 – Factor 1 – Specialized Experience Response to Phase I Solicitation
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)
File details come from the government source that posted it. Updated .