RFP Attachment J04 Company Specialized Experience Construction Form.docx
DOCX document 22 KB Posted
- Attached to
- Rosebud Exterior Construction Project Bid Pack 1
- Solicitation number
- 75H70124R00052
About this file
This document is a Company Specialized Experience - Construction Form, which is an attachment to a Request for Proposals (RFP) for the Rosebud Exterior Construction Project Bid Pack 1 solicitation, number 75H70124R00052, issued by the Department of Health and Human Services Indian Health Service.
The form requires the offeror to provide details on a similar construction project completed within the last 6 years, including the project type, scope, facility type, size, the offeror's role, contract value, subcontracted work, construction dates, performance evaluation by the owner, and owner contact information for a reference. The overall federal contract opportunity is for various construction tasks at the Rosebud Hospital in Rosebud, South Dakota, with a total contract value anticipated between $5,000,000 and $10,000,000. The contract is set aside for Indian Small Business Economic Enterprises under NAICS code 236220, with a size standard of $45 million average annual revenue. The period of performance is 540 calendar days from the Notice to Proceed.
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Text version
16-161-SOL-00001
NCYRTC
Attachment - Company Specialized Experience – Construction Form Solicitation Number: 75H70124R00052
COMPANY SPECIALIZED EXPERIENCE – CONSTRUCTION FORM
Provide the following information to show examples of projects your company constructed within the last six (6) years indicating experience with projects of similar type and scope. 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 Type of Facility (i.e. office building, hospital, etc.)
Size of building, including number of gross square feet and number of stories Your Role (Prime, Joint Venture, or Subcontractor, etc.) and Work Your Company Self-Performed Dollar Value of the Contract Extent and Type of Work Subcontracted Out Dates Construction: Began___________________ Completed______________ % Completed _______ Your Performance Evaluation by Owner, 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
Volume I – Factor – Specialized Experience
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
File details come from the government source that posted it. Updated .