Optional Company Specialized Experience Form
Updated
A PDF document (574 KB) attached to Rosebud Lift Station Construction, from the Indian Health Service. Due Dec 1, 2026, 5:00 PM (UTC-5).
File name: Optional Company Specialized Experience Form.pdf
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Optional Attachment - Company Specialized Experience
Solicitation Number: 75H70127R00007 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
(m) Your Performance Evaluation by Owner, if known
Volume I – Factor 1 – Technical
FOR OFFICIAL USE ONLY, SOURCE SELECTION INFORMATION (FAR 3.104)
Optional Attachment - Company Specialized Experience
Solicitation Number: 75H70127R00007 Rosebud Lift Station Construction (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)
The beginning of the document. Download the full file to read on.