Questionnaire.docx

70Z08418RBHQ00200

FABRICATION AND DELIVERY OF SWIVELS FOR VARIOUS COAST GUARD LOCATIONS

SOURCES SOUGHT RESPONSE

Please ensure that as a minimum the following items are covered in your response:

1. Provide the following information:

Company Name:

Street Address:

City, State, Zip Code:

Primary Point of Contact:

Phone Number:

Email Address:

Company’s Unique Identification Number:

(formerly DUNS)

Company CAGE Code:

Registered in the System for Award Management (SAM) database at https://www.sam.gov/index.html:

___Yes ___ No

2. Please indicate your company’s size status under the following NAICS Codes by placing and “X” in the appropriate blocks below:

Employees

*Acronyms:

HUBZone – Historically Underutilized Business Zone WOSB - Woman Owned Small Business VOSB - Veteran Owned Small Business SDVOSB - Service Disabled Veteran Owned Small Business

3. Does your company regularly fabricate/manufacture/procure swivels?

3(a) If so, please list the specific types and manufacturers.

3(b) How long has your company engaged in swivel fabrication/manufacturing/procurement?

4. Relevancy of Experience:

4(a) Please list no more than three contracts your company is currently performing (or has completed within the last five years) that include the fabrication / manufacture / procurement and delivery of swivels. Include the contract (including Federal Supply Schedules) number, title, contract type, and award amount.

4(b) For each of these contracts, identify whether your firm was the manufacturer or supplier/distributor.

4(c) Were these contracts won competitively? If not, list those which were not.

5. Manufacturing:

5(a) Indicate if the swivels are manufactured in the United States.

Yes |_| No |_|

5(b) If not USA manufactured, specify country of manufacture:

6. What is the likelihood of your company submitting an offer for any resulting solicitation for fabrication and delivery of swivels?