Optional Company Specialized Experience Form.pdf

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Attached to
Rosebud Lift Station Construction
Solicitation number
75H70126R00030
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This document is an optional attachment form for demonstrating company specialized experience in response to Solicitation Number 75H70126R00030 for Rosebud Lift Station Construction. The form is part of Volume I – Factor 1 (Technical) evaluation and is classified as source selection information for official use only.

The form requires bidders to submit one form per relevant project completed within the last six years, documenting experience with projects of similar scope and complexity. Required information includes: type of project, firm name, project name and location, project owner, general scope of construction, facility type, building size (gross square feet and stories), bidder'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, and owner's performance evaluation. Additionally, bidders must disclose whether they were terminated or assessed liquidated damages on the project, with an explanation required if applicable. The form requires contact information for the owner's reference point of contact, including name, company, and current telephone number to allow for verification of the company's experience and past performance on comparable projects.

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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: 75H70126R00030 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: 75H70126R00030 Rosebud Lift Station Construction

COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM

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