25-0011 PIS.pdf

Date Completed

PUBLIC WORKS DIVISION, MCB PROJECT INFORMATION SHEET

CAMP LEJEUNE, NORTH CAROLINA MARCH 2010

This questionnaire form provides technical information used to prepare Division 00 and Parts of Division 01 of the final contract project. THIS IS NOT A CONTRACT DOCUMENT. Submit a completed copy of this questionnaire at the 90% and 100% submittal.

This form must be completed by the Architect/Engineer (A/E) and the Government (PM, AIC/EIC, or DM), for each project.

Project Name:

Location:

Solicitation No.: N40085-

Contract Type [Fixed Price] [RFP]:

Estimated Cost:

A/E Firm & Address:

Disciplines Civil:

Architectural:

Mechanical:

Electrical:

Structural:

Other:

A/E Contract No.: N40085-

ECC Amount: $ Shop Drawings:

Yes No

Yes No

Yes No

Confined Space Entry Procedures:

Permits Required:

Contact Person:

Phone:

E-mail:

E-mail:

Phone:

Contact Person:

E-mail:

Phone:

Contact Person:

Project Information Sheet - Page 1

A. PROJECT INFORMATION:

PROJECT DESCRIPTION

Give a general description of the types of work involved in sufficient detail so as to present a general picture of work involved.

DO NOT USE BUILDING NUMBERS OR OTHER PARTS OF THE SPECIFICATION TITLE. Mention peculiar or hazardous work such as asbestos and lead paint removal. This should be kept concise, yet thorough, as possible - normally 5 lines.

The work includes and incidental related work.

SPECIAL SCHEDULING REQUIREMENTS

Will the building be vacant the entire construction period? Yes No

If no, list special scheduling requirements below:

Project Information Sheet - Page 2

B. GENERAL INFORMATION FOR BIDDING PURPOSES

NOTE: The A/E shall measure all "Quantities" needed for "Unit Price Requirements" and specify them appropriately e.g.: (___) Unit price per cubic yard for dredging 50,000 cubic yards.

$________ per cubic yard x 50,000 cubic yards = $____________.

Pricing Information: Unit Price (Clause 1.2)

FAC 5252.214-9300, Basis of Award (Nov 1998) FAC 5252.214-9301, Notice to Bidders (Jun 1994)

a. Will there be a lump sum bid item?

b. If no, provide description of bid items & number / type of units:

Yes No

Yes No

Yes No

c. Are there Additive / Deductive Items?

d. If yes, provide description of item(s) and unit pricing information, under FAC 5252.214-9301, Notice to Bidders.

Reference "Unit Prices"

1. Base Bid 0001 shall be the entire work complete in accordance with the drawings and specifications, based on the following breakdown:

a. Price items listed below: $

b. Unit price per for

$ per x = $

Total Price of Base Bid Item 0001 $

c. Are there Option Items?

d. If yes, provide description of item(s) and unit pricing information, if applicable:

Project Information Sheet - Page 3

2. FAC 5252.214-9301, NOTICE TO BIDDERS (JUN 1994)

Does project include additive bid items?

(If yes, complete the information below)

Yes No

Yes No

(1) Base Bid Item 0001 is the entire work complete in accordance with the drawings and specifications, but not including work described or specified to be provided under any other bid item.

(2) Additive Bid Item 0002 is the addition of the following:

(3) Additive Bid Item 0003 is the addition of the following:

3. FAR 52.236-4, PHYSICAL DATA (APR 1984)

Is physical data (e.g., test borings, hydrographic, weather conditions data) to be furnished or made available to offerors?

(If yes complete the information below)

The indications of physical conditions on the drawings and in the specifications are the results of site investigations by:

(Insert a description of investigational method used, such as surveys, auger borings, core borings, test pits, probings, test tunnels, etc.)

Weather conditions:

(Insert a summary of weather records and warnings.)

Transportation facilities:

insert a summary of transportation facilities providing access from the site, including information about their availability and limitations)

(insert other pertinent information).

Project Information Sheet - Page 4

C. INFORMATION FOR SIC CODE, OZONE DEPLETING, ETC.

1. FAR 52.2223-11, OZONE-DEPLETING SUBSTANCES (MAY 2001)

Does this project specify any Class I or Class II Ozone Depleting Substance (ODS)?

(e.g. chlorofluorocarbons, halons, carbon tetrachloride, methyl chloroform, hydrochlorofluorocarbons)

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

(A/E attach memorandum for contract file verifying the specification has been reviewed for these substances.

When there is no alternative to using ODS provide technical certification per NAPS 5210.002-71)

2. FAR 52.219-1, SMALL BUSINESS PROGRAM REPRESENTATIONS (MAY 2004)

(Based on Cost of the job related to Standard Industrial Classification (SIC) Code in the Government Estimate)

Classification (SIC) Code in Government Estimate:

3. FAR 52.223-4, RECOVERED MATERIAL CERTIFICATION (MAY 2008)

Does this contract require the use of "Recovered Material?"

(i.e. Materials that have been diverted or recovered from solid waste per FAR 23.402)

4. FAR 52.223-8, ESTIMATE OF PERCENTAGE OF RECOVERED MATERIAL FOR DESIGNATED ITEMS TO BE

USED IN THE PERFORMANCE OF THE CONTRACT (MAY 1995)

Does this contract contain a requirement for an EPA designated item?

(Note: As of 3 Aug 95, designated items for which maximum use of recovered materials are prescribed are paper, wood, insulation, cement, and cement using flyash).

D. LIST OF DRAWINGS

List of Drawings attached?

Reference Drawings Used?

Reference Drawings Will Be:

On File at Camp Lejeune?

Accompany Specifications?

Project Information Sheet - Page 5

E. INFORMATION FOR COMPLETION, SPECIAL REQUIREMENTS, ETC

1. FAR 52.211-10, COMMENCEMENT, PROSECUTION, AND COMPLETION OF WORK AND ALTERNATE I (APR 1984)

Number of calendar days for completion of entire work:

- OR -

Specific calendar date:

If multiple completion dates, provide description of work involved for each segment of work and the number of days (or specific date, if applicable) for completion.

If specific date for completion, the completion date is based on the assumption of the Contractor receiving notice to proceed by: (date)

2. FAR 52.211-12, LIQUIDATED DAMAGES - CONSTRUCTION (APR 1984) AND ALTERNATE 1 (SEP 2000)

Liquidated Damages Amount: $

If different completion dates are specified for separate parts or stages of work, provide liquidated damages for each separate part or stage.

Does this contract require adjustment of LD's for phasing, family housing, bachelor housing, storage space, or office space?

Yes No

Yes No

Yes No

If phased, provide percent of construction cost for each phase.

Phase A % Phase B % Phase C %

3. FAR 52.223-3, HAZARDOUS MATERIAL IDENTIFICCATION AND MATERIAL SAFETY DATA (JAN 1997)

Will this contract require delivery of hazardous materials?

4. FAR 52.227-4, PATENT INDEMNITY - CONSTRUCTION CONTRACTS (APR 1984) - ALTERNATE 1 (DEC 2007)

Does this contract involve construction that will necessarily involve the use of structures, products, materials, equipment, processes, or methods that are nonstandard, noncommercial, or special, which should be excluded from the patent identification?

If yes, please identify those items:

Project Information Sheet - Page 6

Yes No

Yes No

When unit pricing is utilized is there a "Payment Clause" in the technical specification section indicating the basis for payment?

5. FAR 52.211-18, VARIATION IN ESTIMATED QUANTITY (APR 1984)

If yes, please indicate the applicable specification section number

6. FAR 52.225-9, BUY AMERICAN ACT - CONSTRUCTION MATERIALS (FEB 2009)

Does the project have any exemptions to the Buy American Act?

(Prior approval is required for an exemption). If yes, fill in the table below:

Description Section or Drawing Number Paragraph or Drawing Number

Use this if contract is greater than $6.5 million

7. FAR 52.211-6, BRAND NAME OR EQUAL (AUG 1999)

NOTE: Because "Level III Contracting Officer Approval" must be obtained, the A/E must write a justification on A/E letterhead as to the need for the "Or Equal", Specifications in the contract specification or indicated in the design.

Does project include any Brand Name or Equal Statements?

(Requires prior approval by a Level I Contracting Officer) If yes, fill in the table below):

Description Section or Drawing Number Paragraph or Drawing Number

NOTE: A minimum of three manufacturer's shall be included in the description followed by the words "or equal" with the salient characteristics listed.

Project Information Sheet - Page 7

F. INFORMATION FOR UTILITIES, SAFETY REQUIREMENTS, ETC.

1. FAC 5252.245-9302, LIMITED ASSUMPTION OF RISK BY GOVERNMENT (MAY 2005)

Is construction performed near naval ammunition depots or magazines where the Government will assume part of the risk?

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

2. FAC 5252.236-9304, UTILITIES FOR CONSTRUCTION AND TESTING (JUN 1994)

NOTE: The Government will furnish water and electric, where available.

Use yes, for Milcon projects and/or projects where utilities are not available.

Does Contractor provide all of his own utilities?

3. FAC 5252.236-9305, AVAILABILITY OF UTILITIES (JUN 1994)

NOTE: The Government will furnish water and electric, where available.

Use no, for Milcon projects and/or projects where utilities are not available.

Does Contractor provide all of his own utilities?

4. DFARS 252.236-7006, COST LIMITATION (JAN 1997)

FAC 5252.236-9308, INFORMATION CONCERNING COST LIMITATIONS (JUN 1994)

Does this project contain a statutory cost limitation (design/build for housing for example?

Is yes, give amount. $

5. FAR 52.236-21, SPECIFICAITONS AND DRAWINGS FOR CONSTRUCTION (FEB 1997) & ALTERNATE (APR 1984)

FAC 5252.236-9310, RECORD DRAWINGS (JUN 1994)

Are record shop drawings / as builts required?

Reproducible copies of record drawings required?

6. FAR 52.236-13, ACCIDENT PREVENTION (NOV 1991) AND ALTERNATE (NOV 1991)

Is the contract of a long duration or hazardous nature or does performance involve hazardous materials or operations that might endanger the safety of the public or Government personnel?

Project Information Sheet - Page 8

7. FAR 52.245-2, PROPERTY RECORDS (JUN 2007)

Is there Government-Furnished Property in the contract?

Is the estimated value of the Government furnished property greater than or equal to $100,000?

Has this property been identified in Section 01 11 00 and terms specified?

Will the property be provided "As Is" and require the Contractor to modify/repair it?

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

Yes No

8. DFAR 252.236-7002, OBSTRUCTION OF NAVIGABLE WATERWAYS (DEC 1991)

Does this contract provide for work to be performed on or near navigable waterways or cause an obstruction to navigable waterways?

9. DFARS 252.236-7005, AIRFIELD SAFETY PRECAUTIONS (DEC 1991)

Is construction near an airfield?

Does this contract provide for work to be performed on or near airfield runways?

If yes, is the width of the primary surface 2,000 feet (1,000 feet on each side of the runway centerline)?

If yes, is the width of the primary surface 1,500 feet (750 feet on each side of the runway centerline)?

G. WAGE DETERMINATION INFORMATION

What wage determination should be utilized for this contract?

(a) Building

(b) Heavy

(c) Highway

(d) Residential

Project Information Sheet - Page 9

If you have checked more than 1 determination above, provide the conditions for when each is applicable.

H. ADDITIONAL INFORMATION FOR CONTRACT SPECIALIST & OTHERS

1. Government Partnering:

Will there be "Partnering" on this project?

2. Does this project specify any proprietary items? Yes No

Yes No

Yes No

NOTE: A/E indicate where items can be found in the specifications by providing the section number, paragraph, and/or drawing location.

Description Section or Drawing Number Paragraph or Drawing Number

NOTE: Because a Justification and Approval (J&A) is required, the A/E must write a justification on A/E letterhead, as to the need for the proprietary item in the contract specification or indicated in the design.

3. Will there be site work that may involve merchantable timber on this project?

NOTE: Add the following paragraph, in an appropriate location of Division 02, when merchantable timber may be involved.

Merchantable Timber Removal: The Government will have the option to remove merchantable timber from the construction site prior to the Contractor starting his clearing operations. Merchantable timber will generally be harvested if there are five truckloads or more readily available for harvest. Hardwoods are not considered merchantable. The Contractor shall provide the Government a minimum 3 weeks written notice prior to the start of his clearing operations. The Government will take approximately 2 weeks to remove the merchantable timber, and will leave approximately 2 feet of stump for Contractor removal. Stumps, limbs, and smaller trees shall be left on site for the Contractor to dispose of. Merchantable timber shall remain the property of the Government.

REQUIRED FOR SECTION 01 35 29, "SAFETY AND OCCUPATIONAL HEALTH REQUIREMENTS"

NOTE: Noise exposure from adjacent Government activities must be evaluated based on the exposure potential of the construction site to the Government activities. These activities may require the Contractor to provide a hearing protection program for his employees far in excess of what his work would require. If so, include the criteria so that it is part of the contract that the Contractor bids on. Add the following sentence if warranted:

NOTE: Designer to determine based on work location. Pre-design survey should indicated if an area exceeds 115 dba for more than 15 minutes in an 8 hour day, or over 90 dba continuously. Typical near airfields, aircrafts, machine shops, etc.

Project Information Sheet - Page 10

Noise: The adjacent Government activities produce sound-pressure levels of dBA steady state or dBA for minutes, or . Enforce hearing protection protecting Contractor's site personnel from Government produce noise.

CAMP LEJEUNE UPDATES

At this time Camp Lejeune updates are available for download at: www.eagletechgroup.net. This site is updated as changes take place and contains other various information that may be helpful to writers and editors of Camp Lejeune contracts.

You must have an account to access this page; send requests for an account to: alice.bonnette@usmc.mil (or) call 910-451-5507 (x3288)

Updates may also be obtained by contacting Sylvia Norris at: sylvia.norris@usmc.mil (or) 910-451-5507 (x3269)

VERIFY THE FOLLOIWNG ARE INCLUDED WITH 100% SUBMISSION

Building Information Checklist (UFC-1-300-08 or latest version), if applicable

Copy of Verification Reports (all errors corrected)

Copy of Submittal Register

Estimate

CD with complete copy of contract (Must include all files SpecsIntact, Dwg, Pdf, etc.

(SpecsIntact Files must contain .sec as weill as .tpl and .prn files)

E-mail address (If questions arise)

Yes No

Yes No

Yes No

Yes No

Yes No

E-Mail Address:

Project Information Sheet - Page 11

PUBLIC WORKS DIVISION, MCB PROJECT INFORMATION SHEET

CAMP LEJEUNE, NORTH CAROLINA MARCH 2010

This questionnaire form provides technical information used to prepare Division 00 and Parts of Division 01 of the final contract project. THIS IS NOT A CONTRACT DOCUMENT. Submit a completed copy of this questionnaire at the 90% and 100% submittal.

This form must be completed by the Architect/Engineer (A/E) and the Government (PM, AIC/EIC, or DM), for each project.

Shop Drawings:

Confined Space Entry Procedures:

Permits Required:

Project Information Sheet - Page 1

A. PROJECT INFORMATION:

PROJECT DESCRIPTION

Give a general description of the types of work involved in sufficient detail so as to present a general picture of work involved.

DO NOT USE BUILDING NUMBERS OR OTHER PARTS OF THE SPECIFICATION TITLE. Mention peculiar or hazardous work such as asbestos and lead paint removal. This should be kept concise, yet thorough, as possible - normally 5 lines.

SPECIAL SCHEDULING REQUIREMENTS

Will the building be vacant the entire construction period?

If no, list special scheduling requirements below:

Project Information Sheet - Page 2

B. GENERAL INFORMATION FOR BIDDING PURPOSES

NOTE: The A/E shall measure all "Quantities" needed for "Unit Price Requirements" and specify them appropriately e.g.: (___) Unit price per cubic yard for dredging 50,000 cubic yards.

$________ per cubic yard x 50,000 cubic yards = $____________.

Pricing Information: Unit Price (Clause 1.2)

FAC 5252.214-9300, Basis of Award (Nov 1998) FAC 5252.214-9301, Notice to Bidders (Jun 1994)

a. Will there be a lump sum bid item?

b. If no, provide description of bid items & number / type of units:

c. Are there Additive / Deductive Items?

d. If yes, provide description of item(s) and unit pricing information, under FAC 5252.214-9301, Notice to Bidders.

Reference "Unit Prices"

1. Base Bid 0001 shall be the entire work complete in accordance with the drawings and specifications, based on the following breakdown:

a. Price items listed below: $

b. Unit price per for per x Total Price of Base Bid Item 0001 $

c. Are there Option Items?

d. If yes, provide description of item(s) and unit pricing information, if applicable:

Project Information Sheet - Page 3

2. FAC 5252.214-9301, NOTICE TO BIDDERS (JUN 1994)

Does project include additive bid items?

(If yes, complete the information below)

(1) Base Bid Item 0001 is the entire work complete in accordance with the drawings and specifications, but not including work described or specified to be provided under any other bid item.

(2) Additive Bid Item 0002 is the addition of the following:

(3) Additive Bid Item 0003 is the addition of the following:

3. FAR 52.236-4, PHYSICAL DATA (APR 1984)

Is physical data (e.g., test borings, hydrographic, weather conditions data) to be furnished or made available to offerors?

(If yes complete the information below) The indications of physical conditions on the drawings and in the specifications are the results of site investigations by:

(Insert a description of investigational method used, such as surveys, auger borings, core borings, test pits, probings, test tunnels, etc.)

Weather conditions:

(Insert a summary of weather records and warnings.)

Transportation facilities:

insert a summary of transportation facilities providing access from the site, including information about their availability and limitations) (insert other pertinent information).

Project Information Sheet - Page 4

C. INFORMATION FOR SIC CODE, OZONE DEPLETING, ETC.

1. FAR 52.2223-11, OZONE-DEPLETING SUBSTANCES (MAY 2001)

Does this project specify any Class I or Class II Ozone Depleting Substance (ODS)?

(e.g. chlorofluorocarbons, halons, carbon tetrachloride, methyl chloroform, hydrochlorofluorocarbons) (A/E attach memorandum for contract file verifying the specification has been reviewed for these substances.

When there is no alternative to using ODS provide technical certification per NAPS 5210.002-71)

2. FAR 52.219-1, SMALL BUSINESS PROGRAM REPRESENTATIONS (MAY 2004)

(Based on Cost of the job related to Standard Industrial Classification (SIC) Code in the Government Estimate)

3. FAR 52.223-4, RECOVERED MATERIAL CERTIFICATION (MAY 2008)

Does this contract require the use of "Recovered Material?"

(i.e. Materials that have been diverted or recovered from solid waste per FAR 23.402)

4. FAR 52.223-8, ESTIMATE OF PERCENTAGE OF RECOVERED MATERIAL FOR DESIGNATED ITEMS TO BE

USED IN THE PERFORMANCE OF THE CONTRACT (MAY 1995)

Does this contract contain a requirement for an EPA designated item?

(Note: As of 3 Aug 95, designated items for which maximum use of recovered materials are prescribed are paper, wood, insulation, cement, and cement using flyash).

D. LIST OF DRAWINGS

List of Drawings attached?

Reference Drawings Used?

Reference Drawings Will Be:

On File at Camp Lejeune?

Accompany Specifications?

Project Information Sheet - Page 5

E. INFORMATION FOR COMPLETION, SPECIAL REQUIREMENTS, ETC

1. FAR 52.211-10, COMMENCEMENT, PROSECUTION, AND COMPLETION OF WORK AND ALTERNATE I (APR 1984)

- OR -

If multiple completion dates, provide description of work involved for each segment of work and the number of days (or specific date, if applicable) for completion.

If specific date for completion, the completion date is based on the assumption of the Contractor receiving notice to proceed by:

2. FAR 52.211-12, LIQUIDATED DAMAGES - CONSTRUCTION (APR 1984) AND ALTERNATE 1 (SEP 2000) If different completion dates are specified for separate parts or stages of work, provide liquidated damages for each separate part or stage.

Does this contract require adjustment of LD's for phasing, family housing, bachelor housing, storage space, or office space?

If phased, provide percent of construction cost for each phase.

3. FAR 52.223-3, HAZARDOUS MATERIAL IDENTIFICCATION AND MATERIAL SAFETY DATA (JAN 1997) Will this contract require delivery of hazardous materials?

4. FAR 52.227-4, PATENT INDEMNITY - CONSTRUCTION CONTRACTS (APR 1984) - ALTERNATE 1 (DEC 2007) Does this contract involve construction that will necessarily involve the use of structures, products, materials, equipment, processes, or methods that are nonstandard, noncommercial, or special, which should be excluded from the patent identification?

If yes, please identify those items:

Project Information Sheet - Page 6 When unit pricing is utilized is there a "Payment Clause" in the technical specification section indicating the basis for payment?

5. FAR 52.211-18, VARIATION IN ESTIMATED QUANTITY (APR 1984)

If yes, please indicate the applicable specification section number

6. FAR 52.225-9, BUY AMERICAN ACT - CONSTRUCTION MATERIALS (FEB 2009)

Does the project have any exemptions to the Buy American Act?

(Prior approval is required for an exemption). If yes, fill in the table below:

Description Section or Drawing Number Paragraph or Drawing Number Use this if contract is greater than $6.5 million

7. FAR 52.211-6, BRAND NAME OR EQUAL (AUG 1999)

NOTE: Because "Level III Contracting Officer Approval" must be obtained, the A/E must write a justification on A/E letterhead as to the need for the "Or Equal", Specifications in the contract specification or indicated in the design.

Does project include any Brand Name or Equal Statements?

(Requires prior approval by a Level I Contracting Officer) If yes, fill in the table below):

Description Section or Drawing Number Paragraph or Drawing Number NOTE: A minimum of three manufacturer's shall be included in the description followed by the words "or equal" with the salient characteristics listed.

Project Information Sheet - Page 7

F. INFORMATION FOR UTILITIES, SAFETY REQUIREMENTS, ETC.

1. FAC 5252.245-9302, LIMITED ASSUMPTION OF RISK BY GOVERNMENT (MAY 2005)

Is construction performed near naval ammunition depots or magazines where the Government will assume part of the risk?

2. FAC 5252.236-9304, UTILITIES FOR CONSTRUCTION AND TESTING (JUN 1994)

NOTE: The Government will furnish water and electric, where available.

Use yes, for Milcon projects and/or projects where utilities are not available.

Does Contractor provide all of his own utilities?

3. FAC 5252.236-9305, AVAILABILITY OF UTILITIES (JUN 1994)

NOTE: The Government will furnish water and electric, where available.

Use no, for Milcon projects and/or projects where utilities are not available.

Does Contractor provide all of his own utilities?

4. DFARS 252.236-7006, COST LIMITATION (JAN 1997)

FAC 5252.236-9308, INFORMATION CONCERNING COST LIMITATIONS (JUN 1994)

Does this project contain a statutory cost limitation (design/build for housing for example?

5. FAR 52.236-21, SPECIFICAITONS AND DRAWINGS FOR CONSTRUCTION (FEB 1997) & ALTERNATE (APR 1984)

FAC 5252.236-9310, RECORD DRAWINGS (JUN 1994)

Are record shop drawings / as builts required?

Reproducible copies of record drawings required?

6. FAR 52.236-13, ACCIDENT PREVENTION (NOV 1991) AND ALTERNATE (NOV 1991)

Is the contract of a long duration or hazardous nature or does performance involve hazardous materials or operations that might endanger the safety of the public or Government personnel?

Project Information Sheet - Page 8

7. FAR 52.245-2, PROPERTY RECORDS (JUN 2007)

Is there Government-Furnished Property in the contract?

Is the estimated value of the Government furnished property greater than or equal to $100,000?

Has this property been identified in Section 01 11 00 and terms specified?

Will the property be provided "As Is" and require the Contractor to modify/repair it?

8. DFAR 252.236-7002, OBSTRUCTION OF NAVIGABLE WATERWAYS (DEC 1991)

Does this contract provide for work to be performed on or near navigable waterways or cause an obstruction to navigable waterways?

9. DFARS 252.236-7005, AIRFIELD SAFETY PRECAUTIONS (DEC 1991)

Is construction near an airfield?

Does this contract provide for work to be performed on or near airfield runways?

If yes, is the width of the primary surface 2,000 feet (1,000 feet on each side of the runway centerline)?

If yes, is the width of the primary surface 1,500 feet (750 feet on each side of the runway centerline)?

G. WAGE DETERMINATION INFORMATION

What wage determination should be utilized for this contract?

(a) Building

(b) Heavy

(c) Highway

(d) Residential Project Information Sheet - Page 9 If you have checked more than 1 determination above, provide the conditions for when each is applicable.

H. ADDITIONAL INFORMATION FOR CONTRACT SPECIALIST & OTHERS

1. Government Partnering:

Will there be "Partnering" on this project?

2. Does this project specify any proprietary items?

NOTE: A/E indicate where items can be found in the specifications by providing the section number, paragraph, and/or drawing location.

Description Section or Drawing Number Paragraph or Drawing Number NOTE: Because a Justification and Approval (J&A) is required, the A/E must write a justification on A/E letterhead, as to the need for the proprietary item in the contract specification or indicated in the design.

3. Will there be site work that may involve merchantable timber on this project?

NOTE: Add the following paragraph, in an appropriate location of Division 02, when merchantable timber may be involved.

Merchantable Timber Removal: The Government will have the option to remove merchantable timber from the construction site prior to the Contractor starting his clearing operations. Merchantable timber will generally be harvested if there are five truckloads or more readily available for harvest. Hardwoods are not considered merchantable. The Contractor shall provide the Government a minimum 3 weeks written notice prior to the start of his clearing operations. The Government will take approximately 2 weeks to remove the merchantable timber, and will leave approximately 2 feet of stump for Contractor removal. Stumps, limbs, and smaller trees shall be left on site for the Contractor to dispose of. Merchantable timber shall remain the property of the Government.

REQUIRED FOR SECTION 01 35 29, "SAFETY AND OCCUPATIONAL HEALTH REQUIREMENTS"

NOTE: Noise exposure from adjacent Government activities must be evaluated based on the exposure potential of the construction site to the Government activities. These activities may require the Contractor to provide a hearing protection program for his employees far in excess of what his work would require. If so, include the criteria so that it is part of the contract that the Contractor bids on. Add the following sentence if warranted:

NOTE: Designer to determine based on work location. Pre-design survey should indicated if an area exceeds 115 dba for more than 15 minutes in an 8 hour day, or over 90 dba continuously. Typical near airfields, aircrafts, machine shops, etc.

Project Information Sheet - Page 10 dBA for

CAMP LEJEUNE UPDATES

At this time Camp Lejeune updates are available for download at: www.eagletechgroup.net. This site is updated as changes take place and contains other various information that may be helpful to writers and editors of Camp Lejeune contracts.

You must have an account to access this page; send requests for an account to: alice.bonnette@usmc.mil (or) call 910-451-5507 (x3288) Updates may also be obtained by contacting Sylvia Norris at: sylvia.norris@usmc.mil (or) 910-451-5507 (x3269)

VERIFY THE FOLLOIWNG ARE INCLUDED WITH 100% SUBMISSION

Building Information Checklist (UFC-1-300-08 or latest version), if applicable Copy of Verification Reports (all errors corrected) Copy of Submittal Register Estimate CD with complete copy of contract (Must include all files SpecsIntact, Dwg, Pdf, etc.

(SpecsIntact Files must contain .sec as weill as .tpl and .prn files)

E-mail address (If questions arise) Project Information Sheet - Page 11 8.0.1291.1.339988.308172 Date Completed

PUBLIC WORKS DIVISION, MCB PROJECT INFORMATION SHEET

CAMP LEJEUNE, NORTH CAROLINA MARCH 2010

This questionnaire form provides technical information used to prepare Division 00 and Parts of Division 01 of the final contract project. THIS IS NOT A CONTRACT DOCUMENT. Submit a completed copy of this questionnaire at the 90% and 100% submittal.

This form must be completed by the Architect/Engineer (A/E) and the Government (PM, AIC/EIC, or DM), for each project.

Project Name:

Repair BEQ HP135 Location:

Camp Lejeune, North Carolina Solicitation No.: N40085- 25-F-0675 Contract Type [Fixed Price] [RFP]:

RFP

Estimated Cost:

$24,254,278 A/E Firm & Address:

MBF Architects, PA 317-C Pollock St Disciplines Civil:

Avolis Engineering, PA Architectural:

MBF Architects, PA Mechanical:

Crenshaw Consulting Engineers, Inc.

Electrical:

Crenshaw Consulting Engineers, Inc.

Structural:

Kaydos-Daniels Engineers, PLLC Other:

Plumbing: CCE; Interior Design: Within Interior Design; FPE: Jensen Hughes, Inc.

A/E Contract No.: N40085- 22-D-0002 ECC Amount: $ 36,239,400 Shop Drawings:

Yes Yes No No No Yes Yes Yes No No Yes No Confined Space Entry Procedures:

Permits Required:

Contact Person:

John Schmied Phone:

252.637.6373 E-mail:

schmied@mbfarchitects.com E-mail:

Phone:

Contact Person:

E-mail:

Phone:

Contact Person:

Project Information Sheet - Page 1

A. PROJECT INFORMATION:

PROJECT DESCRIPTION

Give a general description of the types of work involved in sufficient detail so as to present a general picture of work involved.

DO NOT USE BUILDING NUMBERS OR OTHER PARTS OF THE SPECIFICATION TITLE. Mention peculiar or hazardous work such as asbestos and lead paint removal. This should be kept concise, yet thorough, as possible - normally 5 lines.

The work includes replacement of the mechanical, plumbing and electrical systems. Replacement of all interior finishes.

Upgrades conforming to Minimum Antiterrorism Standards for Buildings. Construction of a new mechanical building and chiller yard. Upgrades Manhole rehab from C St. to building HP250.

and incidental related work.

SPECIAL SCHEDULING REQUIREMENTS

Will the building be vacant the entire construction period?

Yes No If no, list special scheduling requirements below:

Project Information Sheet - Page 2

B. GENERAL INFORMATION FOR BIDDING PURPOSES

NOTE: The A/E shall measure all "Quantities" needed for "Unit Price Requirements" and specify them appropriately e.g.: (___) Unit price per cubic yard for dredging 50,000 cubic yards.

$________ per cubic yard x 50,000 cubic yards = $____________.

Pricing Information: Unit Price (Clause 1.2)

FAC 5252.214-9300, Basis of Award (Nov 1998)

FAC 5252.214-9301, Notice to Bidders (Jun 1994)

a. Will there be a lump sum bid item?

b. If no, provide description of bid items & number / type of units:

Yes Yes No No No Yes Yes No No No Yes No

c. Are there Additive / Deductive Items?

d. If yes, provide description of item(s) and unit pricing information, under FAC 5252.214-9301, Notice to Bidders.

Reference "Unit Prices"

1. Base Bid 0001 shall be the entire work complete in accordance with the drawings and specifications, based on the following breakdown:

a. Price items listed below: $

b. Unit price per for per x Total Price of Base Bid Item 0001 $

c. Are there Option Items?

d. If yes, provide description of item(s) and unit pricing information, if applicable:

Project Information Sheet - Page 3

2. FAC 5252.214-9301, NOTICE TO BIDDERS (JUN 1994)

Does project include additive bid items?

(If yes, complete the information below) Yes Yes No No No Yes No

(1) Base Bid Item 0001 is the entire work complete in accordance with the drawings and specifications, but not including work described or specified to be provided under any other bid item.

(2) Additive Bid Item 0002 is the addition of the following:

(3) Additive Bid Item 0003 is the addition of the following:

3. FAR 52.236-4, PHYSICAL DATA (APR 1984)

Is physical data (e.g., test borings, hydrographic, weather conditions data) to be furnished or made available to offerors?

(If yes complete the information below)

The indications of physical conditions on the drawings and in the specifications are the results of site investigations by:

(Insert a description of investigational method used, such as surveys, auger borings, core borings, test pits, probings, test tunnels, etc.)

Weather conditions:

(Insert a summary of weather records and warnings.)

Transportation facilities:

insert a summary of transportation facilities providing access from the site, including information about their availability and limitations) (insert other pertinent information).

Project Information Sheet - Page 4

C. INFORMATION FOR SIC CODE, OZONE DEPLETING, ETC.

1. FAR 52.2223-11, OZONE-DEPLETING SUBSTANCES (MAY 2001)

Does this project specify any Class I or Class II Ozone Depleting Substance (ODS)?

(e.g. chlorofluorocarbons, halons, carbon tetrachloride, methyl chloroform, hydrochlorofluorocarbons) Yes Yes No No No Yes Yes No No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes No

(A/E attach memorandum for contract file verifying the specification has been reviewed for these substances.

When there is no alternative to using ODS provide technical certification per NAPS 5210.002-71)

2. FAR 52.219-1, SMALL BUSINESS PROGRAM REPRESENTATIONS (MAY 2004)

(Based on Cost of the job related to Standard Industrial Classification (SIC) Code in the Government Estimate)

Classification (SIC) Code in Government Estimate:

3. FAR 52.223-4, RECOVERED MATERIAL CERTIFICATION (MAY 2008)

Does this contract require the use of "Recovered Material?"

(i.e. Materials that have been diverted or recovered from solid waste per FAR 23.402)

4. FAR 52.223-8, ESTIMATE OF PERCENTAGE OF RECOVERED MATERIAL FOR DESIGNATED ITEMS TO BE

USED IN THE PERFORMANCE OF THE CONTRACT (MAY 1995)

Does this contract contain a requirement for an EPA designated item?

(Note: As of 3 Aug 95, designated items for which maximum use of recovered materials are prescribed are paper, wood, insulation, cement, and cement using flyash).

D. LIST OF DRAWINGS

List of Drawings attached?

Reference Drawings Used?

Reference Drawings Will Be:

On File at Camp Lejeune?

Accompany Specifications?

Project Information Sheet - Page 5

E. INFORMATION FOR COMPLETION, SPECIAL REQUIREMENTS, ETC

1. FAR 52.211-10, COMMENCEMENT, PROSECUTION, AND COMPLETION OF WORK AND ALTERNATE I (APR 1984) Number of calendar days for completion of entire work:

- OR -

Specific calendar date:

If multiple completion dates, provide description of work involved for each segment of work and the number of days (or specific date, if applicable) for completion.

If specific date for completion, the completion date is based on the assumption of the Contractor receiving notice to proceed by:

(date)

2. FAR 52.211-12, LIQUIDATED DAMAGES - CONSTRUCTION (APR 1984) AND ALTERNATE 1 (SEP 2000) Liquidated Damages Amount: $

If different completion dates are specified for separate parts or stages of work, provide liquidated damages for each separate part or stage.

Does this contract require adjustment of LD's for phasing, family housing, bachelor housing, storage space, or office space?

Yes Yes No No No Yes Yes No No No Yes Yes No No If phased, provide percent of construction cost for each phase.

Phase A % Phase B % Phase C %

3. FAR 52.223-3, HAZARDOUS MATERIAL IDENTIFICCATION AND MATERIAL SAFETY DATA (JAN 1997) Will this contract require delivery of hazardous materials?

4. FAR 52.227-4, PATENT INDEMNITY - CONSTRUCTION CONTRACTS (APR 1984) - ALTERNATE 1 (DEC 2007) Does this contract involve construction that will necessarily involve the use of structures, products, materials, equipment, processes, or methods that are nonstandard, noncommercial, or special, which should be excluded from the patent identification?

If yes, please identify those items:

Project Information Sheet - Page 6 Yes Yes No No No Yes Yes No No No Yes Yes Yes

When unit pricing is utilized is there a "Payment Clause" in the technical specification section indicating the basis for payment?

5. FAR 52.211-18, VARIATION IN ESTIMATED QUANTITY (APR 1984)

If yes, please indicate the applicable specification section number No

6. FAR 52.225-9, BUY AMERICAN ACT - CONSTRUCTION MATERIALS (FEB 2009)

Does the project have any exemptions to the Buy American Act?

(Prior approval is required for an exemption). If yes, fill in the table below:

Description Section or Drawing Number Paragraph or Drawing Number Use this if contract is greater than $6.5 million

7. FAR 52.211-6, BRAND NAME OR EQUAL (AUG 1999)

NOTE: Because "Level III Contracting Officer Approval" must be obtained, the A/E must write a justification on A/E letterhead as to the need for the "Or Equal", Specifications in the contract specification or indicated in the design.

Does project include any Brand Name or Equal Statements?

(Requires prior approval by a Level I Contracting Officer)

If yes, fill in the table below):

Description Section or Drawing Number Paragraph or Drawing Number

NOTE: A minimum of three manufacturer's shall be included in the description followed by the words "or equal" with the salient characteristics listed.

Project Information Sheet - Page 7

F. INFORMATION FOR UTILITIES, SAFETY REQUIREMENTS, ETC.

1. FAC 5252.245-9302, LIMITED ASSUMPTION OF RISK BY GOVERNMENT (MAY 2005)

Is construction performed near naval ammunition depots or magazines where the Government will assume part of the risk?

Yes Yes No No No Yes Yes No No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes No No No Yes Yes No No

2. FAC 5252.236-9304, UTILITIES FOR CONSTRUCTION AND TESTING (JUN 1994)

NOTE: The Government will furnish water and electric, where available.

Use yes, for Milcon projects and/or projects where utilities are not available.

Does Contractor provide all of his own utilities?

3. FAC 5252.236-9305, AVAILABILITY OF UTILITIES (JUN 1994)

NOTE: The Government will furnish water and electric, where available.

Use no, for Milcon projects and/or projects where utilities are not available.

Does Contractor provide all of his own utilities?

4. DFARS 252.236-7006, COST LIMITATION (JAN 1997)

FAC 5252.236-9308, INFORMATION CONCERNING COST LIMITATIONS (JUN 1994)

Does this project contain a statutory cost limitation (design/build for housing for example?

Is yes, give amount. $

5. FAR 52.236-21, SPECIFICAITONS AND DRAWINGS FOR CONSTRUCTION (FEB 1997) & ALTERNATE (APR 1984)

FAC 5252.236-9310, RECORD DRAWINGS (JUN 1994)

Are record shop drawings / as builts required?

Reproducible copies of record drawings required?

6. FAR 52.236-13, ACCIDENT PREVENTION (NOV 1991) AND ALTERNATE (NOV 1991)

Is the contract of a long duration or hazardous nature or does performance involve hazardous materials or operations that might endanger the safety of the public or

Government personnel?

Project Information Sheet - Page 8 Yes Yes No No No

7. FAR 52.245-2, PROPERTY RECORDS (JUN 2007)

Is there Government-Furnished Property in the contract?

Is the estimated value of the Government furnished property greater than or equal to $100,000?

Has this property been identified in Section 01 11 00 and terms specified?

Will the property be provided "As Is" and require the Contractor to modify/repair it?

Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No No Yes Yes No No Yes Yes No No Yes Yes No No Yes Yes No No

8. DFAR 252.236-7002, OBSTRUCTION OF NAVIGABLE WATERWAYS (DEC 1991)

Does this contract provide for work to be performed on or near navigable waterways or cause an obstruction to navigable waterways?

9. DFARS 252.236-7005, AIRFIELD SAFETY PRECAUTIONS (DEC 1991)

Is construction near an airfield?

Does this contract provide for work to be performed on or near airfield runways?

If yes, is the width of the primary surface 2,000 feet (1,000 feet on each side of the runway centerline)?

If yes, is the width of the primary surface 1,500 feet (750 feet on each side of the runway centerline)?

G. WAGE DETERMINATION INFORMATION

What wage determination should be utilized for this contract?

(a) Building

(b) Heavy

(c) Highway

(d) Residential Project Information Sheet - Page 9 If you have checked more than 1 determination above, provide the conditions for when each is applicable.

H. ADDITIONAL INFORMATION FOR CONTRACT SPECIALIST & OTHERS

1. Government Partnering:

Will there be "Partnering" on this project?

2. Does this project specify any proprietary items?

Yes Yes No No No Yes Yes No No No Yes Yes No

NOTE: A/E indicate where items can be found in the specifications by providing the section number, paragraph, and/or drawing location.

Description Section or Drawing Number Paragraph or Drawing Number

NOTE: Because a Justification and Approval (J&A) is required, the A/E must write a justification on A/E letterhead, as to the need for the proprietary item in the contract specification or indicated in the design.

3. Will there be site work that may involve merchantable timber on this project?

NOTE: Add the following paragraph, in an appropriate location of Division 02, when merchantable timber may be involved.

Merchantable Timber Removal: The Government will have the option to remove merchantable timber from the construction site prior to the Contractor starting his clearing operations. Merchantable timber will generally be harvested if there are five truckloads or more readily available for harvest. Hardwoods are not considered merchantable. The Contractor shall provide the Government a minimum 3 weeks written notice prior to the start of his clearing operations. The Government will take approximately 2 weeks to remove the merchantable timber, and will leave approximately 2 feet of stump for Contractor removal. Stumps, limbs, and smaller trees shall be left on site for the Contractor to dispose of. Merchantable timber shall remain the property of the Government.

REQUIRED FOR SECTION 01 35 29, "SAFETY AND OCCUPATIONAL HEALTH REQUIREMENTS"

NOTE: Noise exposure from adjacent Government activities must be evaluated based on the exposure potential of the construction site to the Government activities. These activities may require the Contractor to provide a hearing protection program for his employees far in excess of what his work would require. If so, include the criteria so that it is part of the contract that the Contractor bids on. Add the following sentence if warranted:

NOTE: Designer to determine based on work location. Pre-design survey should indicated if an area exceeds 115 dba for more than 15 minutes in an 8 hour day, or over 90 dba continuously. Typical near airfields, aircrafts, machine shops, etc.

Project Information Sheet - Page 10 Noise: The adjacent Government activities produce sound-pressure levels of dBA steady state or dBA for minutes, or . Enforce hearing protection protecting Contractor's site personnel from Government produce noise.

CAMP LEJEUNE UPDATES

At this time Camp Lejeune updates are available for download at: www.eagletechgroup.net. This site is updated as changes take place and contains other various information that may be helpful to writers and editors of Camp Lejeune contracts.

You must have an account to access this page; send requests for an account to: alice.bonnette@usmc.mil (or) call

910-451-5507 (x3288) Updates may also be obtained by contacting Sylvia Norris at: sylvia.norris@usmc.mil (or) 910-451-5507 (x3269)

VERIFY THE FOLLOIWNG ARE INCLUDED WITH 100% SUBMISSION

Building Information Checklist (UFC-1-300-08 or latest version), if applicable Copy of Verification Reports (all errors corrected) Copy of Submittal Register Estimate

CD with complete copy of contract

(Must include all files SpecsIntact, Dwg, Pdf, etc.

(SpecsIntact Files must contain .sec as weill as .tpl and .prn files)

E-mail address (If questions arise) Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes No No Yes Yes Yes No No E-Mail Address:

schmied@mbfarchitects.com Project Information Sheet - Page 11 DateTimeField1:

15 May 2026 TextField1:

Repair BEQ HP135 TextField1:

Camp Lejeune, North Carolina TextField1:

25-F-0675 TextField1:

RFP

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$24,254,278 TextField1:

MBF Architects, PA TextField1:

317-C Pollock St TextField1:

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Avolis Engineering, PA TextField2:

MBF Architects, PA TextField2:

Crenshaw Consulting Engineers, Inc.

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Crenshaw Consulting Engineers, Inc.

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Kaydos-Daniels Engineers, PLLC TextField2:

Plumbing: CCE; Interior Design: Within Interior Design; FPE: Jensen Hughes, Inc.

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22-D-0002 TextField2:

36,239,400 TextField2:

John Schmied TextField2:

252.637.6373 TextField2:

schmied@mbfarchitects.com TextField2:

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replacement of the mechanical, plumbing and electrical systems. Replacement of all interior finishes.

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Upgrades conforming to Minimum Antiterrorism Standards for Buildings. Construction of a new mechanical building and TextField3:

chiller yard. Upgrades Manhole rehab from C St. to building HP250.

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schmied@mbfarchitects.com