OA 4 - Key Personnel Resume Form.docx

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Alamo Navajo Health Center Design-Build Construction
Solicitation number
75H70126R00002
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This document is a Key Personnel Resume Form for the Alamo Navajo Health Center Design-Build project (Solicitation Number 75H70126R00002). The form is designed to collect detailed professional information about key project personnel, including the Project Manager, Architect of Record, Project Site Superintendent, and Site Safety and Health Officer (SSHO). The form requires candidates to provide comprehensive details such as years of experience, education, professional registrations, and specific qualifications relevant to the project.

The associated federal contract opportunity involves a design-build construction project for the Indian Health Service (IHS) to replace an existing clinic on the Alamo Navajo Indian Reservation in New Mexico. The project will construct a new 70,000-square-foot comprehensive outpatient wellness facility estimated to cost between $80-120 million. The facility will serve approximately 2,650 tribal residents and will include various medical services such as ambulatory care, medical, dental, diagnostic imaging, physical therapy, pharmacy, public health nursing, and emergency medical services. The procurement is unrestricted and open to both large and small businesses under NAICS code 236220.

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Text version

16-161-SOL-00001

NCYRTC

75H70126R00002 Alamo Navajo Health Center Design-Build Optional Attachment 4 Key Personnel Resume Form Section 3 – Factor 3 – Technical and Professional Qualifications Response to Phase I Solicitation

While this exact form is not required, the same information must be provided. Provide information, listed below, on separate sheets showing qualifications of: prime contractor’s Project Manager responsible for design and construction, Architect of Record, Project Site Superintendent and SSHO. Use a continuation sheet, if needed.

Your Name and Title Your Assignment on this Project Name of Your Firm No. of Years: With this Firm__________ With other Firms____________ Education: Degree(s)/Year/Specialization Active Registration, if any: No._______, State(s) ______, First Year/ Current Year ______/______ Type of Registration __________________________ (P.E., R.A., LEED-AP, etc.)

Describe Your Specific Experience and Qualifications Relevant to this Project:

SOURCE SELECTION SENSITIVE For Official Use Only

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

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