ATTACHMENT 3 - SPECIALIZED EXPERIENCE (AMD 002).pdf

This is a specialized experience form template for the ERCIP Well Field Expansion project at Fort Drum, NY. The form is designed to be completed by prime contractors or key subcontractors to demonstrate relevant project experience within the past seven years on similar-type and -scope projects.

The form requires contractors to provide comprehensive information about each past project, including the facility type, company name, project name and location, project owner, general scope of work, and the contractor's specific role (prime, joint venture, or subcontractor). Respondents must detail the construction cost, percentage of work self-performed, extent and types of work subcontracted out, construction dates (start and completion), and LEED certification level if applicable. Additionally, contractors must disclose their performance evaluation by the owner if known, indicate whether they experienced termination or assessed liquidated damages (with required explanations if applicable), and provide the owner's point of contact for reference verification along with current contact telephone numbers. The form requires one completed form per project example and is intended to establish the contractor's qualification and experience relevant to the well field expansion project.