Optional Company Specialized Experience Form.pdf

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Attached to
Cancelled Rosebud Lift Station Construction
Solicitation number
75H70126R00018
Issued by

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Company Specialized Experience – Construction Form

This is an optional attachment form for Solicitation Number 75H70126R00018 (Rosebud Lift Station Construction) designed to collect evidence of a contractor's relevant construction experience. The form is used to document projects constructed within the last six years that demonstrate similar scope and complexity to the solicited work.

The form requires respondents to provide comprehensive project information across sixteen data fields: type of project, firm name, project name, location, owner, general scope, facility type, building size (gross square feet and stories), the contractor's role (prime, joint venture, or subcontractor) and self-performed work, contract dollar value, extent and type of subcontracted work, construction dates and percent completion, owner's performance evaluation, whether the contractor was terminated or assessed liquidated damages, and owner's point of contact information including telephone number. Instructions specify one form per project, with an explanation required if the contractor was terminated or assessed liquidated damages. This form is classified as source selection information and marked for official use only under FAR 3.104.

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Text version

Volume I – Factor 1 – Technical

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

Optional Attachment - Company Specialized Experience Solicitation Number: 75H70126R00018 Rosebud Lift Station Construction

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

(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)

Optional Attachment - Company Specialized Experience Solicitation Number: 75H70126R00018 Rosebud Lift Station Construction

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

File details come from the government source that posted it. Updated .