Attachment3_RegistrationForm&MarketResearchQuestionnaire.doc
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- Attached to
- ULTRAVIOLET BALLAST WATER TREATMENT SYSTEM FOR SURFACE VESSELS Federal contract opportunity
- Solicitation number
- 19-SBO-002
About this file
This document includes a registration form, market research questionnaire, and details of a federal contract opportunity for an Ultraviolet Ballast Water Treatment System for Surface Vessels. The Naval Surface Warfare Center, Carderock Division is seeking to award a contract for the engineering, design, fabrication, testing and installation of UV Ballast Water Treatment Systems onboard U.S. Navy surface vessels. Interested parties are asked to review and complete the attached market research questionnaire and conformance checklist by December 3, 2018 at 1400 EST to provide information on their capabilities and pricing to fulfill the Navy's requirements. The solicitation is set aside for small businesses and responses are requested to help the agency better understand the marketplace and qualified sources.
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Text version
Industry Day Registration Form & Market Research Questionnaire
Naval Surface Warfare Center Carderock Division (NSWCCD) Industry Day Registration Form & Market Research Questionnaire
Naval Surface Warfare Center Carderock Division (NSWCCD)
INDUSTRY DAY REGISTRATION
(no more than three persons)
To accommodate networking, vendor company information with attendee name, email address, and phone number will be provided to other attendees after the Industry Day unless attendees request this be withheld.
Company Name:
Attendee Name:
Email Address:
Phone Number:
| Participation Options |
| Not able to participate in-person On-site |
| Citizenship |
| U.S. Citizen |
Permanent resident
Foreign national
Attendee Name:
Email Address:
Phone Number:
| Participation Options |
| Not able to participate in-person On-site |
| Citizenship |
| U.S. Citizen |
Permanent resident
Attendee Name:
Email Address:
Phone Number:
| Participation Options |
| Not able to participate in-person On-site |
| Citizenship |
| U.S. Citizen |
Permanent resident
MARKET RESEARCH QUESTIONNAIRE
Interested parties shall complete the questionnaire below if the questionnaire was not submitted in response to the Navy BWTS Solicitation #19-SBO-002, Ultraviolet Ballast Water Treatment System for Surface Vessels.
Company Name:
CAGE Code:
DUNS Number:
Company Address:
Point of Contact (POC):
POC Title:
POC Email Address:
POC Phone Number:
MARKET RESEARCH QUESTIONS
| # |
| QUESTION |
| ANSWER |
| 1 |
| Has your company been awarded previous Government contracts as a small business? |
| Yes No |
| 2 |
| Have you provided the same or similar BWTS to the defense industry including U.S. and foreign military? |
| No Yes |
| 3 |
| Have you provided ship system integration (including engineer, design, fabrication, test) services to the defense industry including U.S. and foreign military? |
| No Yes |
| 4 |
| Please identify your company’s socio-economic small business size status or indicate if your company is a large business. |
| SDB |
8(a)
VOSB
WOSB
Large Business HUBZone SDVOSB Other:_________
| 5 |
| How long has your company provided engineer, design, fabrication, test of BWTS or similar products? |
| ___ Yr(s) ___ Mo(s) |
| 6 |
| Please indicate the percentage of the actual work requirements for this product you would intend to perform as the Prime Contractor. |
| _______% |
| 7 |
| Would you consider modifying a commercial-off-the-shelf (COTS) BWTS? |
| No Yes |
| 8 |
| Would you consider modifying an existing design to conform to the performance specification? |
| No Yes |
| 9 |
| Based on the performance specification, would you consider engineering and designing a new BWTS? |
| No Yes |
| 10 |
| Do you agree with the North American Industry Classification System (NAICS) Code identified for this requirement? If not, please identify all NAICS code(s) that apply. _________ ___ |
No Yes
| 11 |
| Please identify a Raw Order of Magnitude (ROM) and/or estimated unit price for the required BWTS. |
| $________.____ |
| 12 |
| Please list all contracts that your company is currently performing with the same/similar work requirements as those identified herein and indicate BWTS similarity (high/low). For all references, include the contract number, description of the BWTS, and name and phone number of associated POCs. Information may be provided below or as a separate document. |
Contract Agency/ Service Similarity Prime/Sub
Number POC Info Description (high/low) (%Contract)
| 13 |
| Please list contracts that your company has completed within the last five (5) years with the same/similar work requirements as those identified herein and indicate BWTS similarity (high/low). For all references, include the contract number, description of the BWTS, and name and phone number of associated POCs. Information may be provided below or as a separate document. |
Contract Agency/ Service Similarity Prime/Sub
Number POC Info Description (high/low) (%Contract)
| 14 |
| Please list all contracts that your company is currently performing that show experience in providing ship system integration services and indicate service similarity (high/low). For all references, include the contract number, description of the service, and name and phone number of associated POCs. Information may be provided below or as a separate document. |
Contract Agency/ Service Similarity Prime/Sub
Number POC Info Description (high/low) (%Contract)
| 15 |
| Please list contracts that your company has completed within the last five (5) years that showcase experience in providing ship system integration services and indicate service similarity (high/low). For all references, include the contract number, description of the service, and name and phone number of associated POCs. Information may be provided below or as a separate document. |
Contract Agency/ Service Similarity Prime/Sub
Number POC Info Description (high/low) (%Contract)
| 16 |
| What is your company’s policy and/or practice in seeking out small-disadvantaged, woman-owned, veteran-owned, service-disabled veteran-owned and/or HUBZone small businesses for consideration in awarding subcontracts? |
| 17 |
| Please provide a company capability statement (below or as a separate attachment) that demonstrates your company’s capability to fulfill the Navy BWTS requirements and any possible exceptions to the requirements. Please include in this statement the Navy Conformance Checklist that is attached to provide amplifying information including description of design and approach to meet the Navy’s requirements as well as any other supporting documents such as drawings and technical data that the supplier deems relevant. |
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