03 - Attachment 5 - SBU Information Request Form.doc

DOC document 33 KB Posted

Attached to
Construction Manager as Constructor (CMc) Services - Frank E. Moss Courthouse Seismic Updgrades, Backfill, & Building Renovation Federal contract opportunity
Solicitation number
47PJ0020R0183
Issued by
General Services Administration Public Buildings Service Region 8

About this file

This solicitation notice seeks proposals for construction manager as constructor services for seismic upgrades, tenant backfill construction, and building modernization projects at the Frank E. Moss United States Courthouse in Salt Lake City, Utah. Key details include a pre-proposal site visit scheduled for early January 2021, with technical and price proposals due in January and March 2021 respectively. The construction manager as constructor is to provide design phase review services through project completion and occupancy anticipated in March 2022. The project aims to improve seismic performance, backfill the building with relocated federal tenants, preserve historic spaces, and modernize building systems. The General Services Administration Public Buildings Service Region 8 is the contracting agency. Subcontracting plans are required, and the procurement is unrestricted.

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Other files for this federal contract opportunity

Other files attached to Construction Manager as Constructor (CMc) Services - Frank E. Moss Courthouse Seismic Updgrades, Backfill, & Building Renovation, newest first.
File Type Posted
01 - The Solicitation - Amendment 0001.pdf PDF
Amendment 0001 - SF 30 - Questions and Answers.pdf PDF
03 - Attachment 1 - OFFEROR PAST PERFORMANCE QUESTIONNAIRE.docx DOCX document
05 - The Agreement - Solicitation 47PJ0020R0183.pdf PDF
02 - Offeror Representations and Certifications Form.pdf PDF
03 - Attachment 6 - Authorized Negotiators.doc DOC document
01 - The Solicitation .pdf PDF
03 - Attachment 3 - Contract Price Form.xlsx XLSX spreadsheet
03 - Attachment 2 - KEY PERSONNEL PAST PERFORMANCE QUESTIONNAIRE.docx DOCX document
03 - Attachment 4 - Model Subcontracting Plan.docx DOCX document
04 - Standard Form 1442 - Solicitation Offer and Award.pdf PDF
06 - General Decision Number UT20200085 Dated 10.30.2020.pdf PDF
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Text version

{This form is for the offeror’s/contractor’s use if drawings or other sensitive but unclassified building information will be requested by the offeror/contractor. This certification should be incorporated into the Representations and Certifications section of the construction solicitation template and separated with a page break from the previous page.}

REQUEST FOR SENSITIVE BUT UNCLASSIFIED BUILDING (SBU) INFORMATION

Solicitation/Contract Number 47PJ0020R0183 The requester shall complete the information below and return the entire Request for Sensitive but Unclassified Building (SBU) Information document to the Contracting Officer or Contract Specialist. By signature below, the requestor of SBU building information acknowledges the requirement to maintain controls, as stated herein, to safeguard the information, and shall return or destroy the SBU building information as required by this Agreement. The undersigned acknowledges that the requester shall abide by this Agreement and shall only disseminate SBU building information to other authorized users under the conditions set forth herein.

Company Name: _____________________________________________________ Name of Individual and Title: ____________________________________________

Signature: ___________________________________________________

Date: _______________________________________________________

(The Offeror shall attach copy of business license or formation document.)

DUNS Number: _________________________________________

DUNS Number Verified by Government Representative at: https://www.sam.gov/portal/public/SAM/#1

Yes: ___ No: ___

Employer ID Number/Federal Tax ID Number _______________________________

Offeror/bidder/contractor information and DUNS number has been verified and release of SBU building information is approved by:

Rhonda Widick

Date Contracting Officer

This statement shall be submitted by the holder of SBU building information when information is disposed of in accordance with the Request for Sensitive but Unclassified Building Information upon completion of the Project.}

DISPOSAL STATEMENT FOR SENSITIVE BUT UNCLASSIFIED BUILDING INFORMATION

Solicitation/Contract Number ________________________________________ I hereby certify that all Sensitive but Unclassified (SBU) building information relative to the referenced solicitation/contract not previously returned to the Government has been destroyed or disposed of by burning or shredding paper copies, physically destroying computer diskettes or permanently deleting/removing/erasing electronic files from computers.

I also certify the no unauthorized physical or electronic copies of such SBU building information were made or are being retained.

Company Name: ______________________________________________

Name of Individual: ____________________________________________

Signature: ___________________________________________________

Title: _______________________________________________________

Date: _________________

Revised 6/24/2015

File details come from the government source that posted it. Updated .