S02 - Attachment 05 - Specialized Experience Form - 3 pages.pdf

The Specialized Experience Form is a multi-page document designed for contractors to detail their past project experience for a Department of Veterans Affairs construction solicitation. The form requires documentation of four projects, with specific sections capturing contractor information, contract details, project scope, performance roles, challenges encountered, contract dates, completion status, and pricing changes. Key instructions include that submissions must include exactly four projects, with warnings that fewer than four may result in a lower rating and more than four will not be evaluated.

The form is specifically tied to solicitation 36C24825R0128 for constructing bariatric bathrooms at the Community Living Center and South Bed Tower, with project number 672-23-104. Contractors must comprehensively describe their project experiences, including specific roles, percentage of work performed, subcontractor details (if applicable), government agency contact information, and a detailed narrative explaining how their past work relates to the current procurement's requirements. The form serves as a critical evaluation tool for assessing a contractor's specialized experience and capability to perform the proposed VA construction project.