A.02_Apache Power Sources Sought Questionnaire_fillable.pdf

CAPABILITY STATEMENT

W912ER25R0003

Design and Construct Apache Shore Power

SECTION 1. GENERAL

1. Business Name: ______________________________

2. Business Address: ______________________________

3. Cage Code: ______________________________

4. Unique Entity ID: ______________________________

5. Point of Contact:

a. Name: ______________________________

b. Telephone: ______________________________

c. Email: ______________________________

SECTION 2. CONTRACTOR ARRANGEMENT

1. Our firm will be proposing on this project as a:

□ Prime Contractor

□ Joint Venture with:

Business Name: ______________________________ Business Size: ______________________________ Cage Code: ______________________________ (See FAR Subpart 9.6 for Government policy on teaming arrangements)

SECTION 3. CAPABILITY

1. If awarded a contract, our firm can supply performance and payment bonds in accordance with FAR 52.228-15 and acquire Defense Base Act (DBA) Insurance in accordance with FAR 52.228-3.

Performance Bonds □ Yes □ No Payment Bonds □ Yes □ No DBA Insurance □ Yes □ No

2. If awarded a contract, the maximum bonding capacity in U.S. Dollars (USD) our firm can obtain in accordance with FAR 52.228-14 or 52.228-15 is:

Performance Bond _______________ Payment Bond _______________ (Please attach Surety letter indicating bonding amount per project and overall bonding amount for your company, if available.)

3. Our firm has the necessary Kuwait business license and ability to obtain the necessary badging / access to perform work on Ali Al Salem Air Base, Kuwait.

□ Yes □ No

4. Our firm is capable of handling numerous construction contracts simultaneously at

□ 1 □ 2-5 □ 6-10 □ 11-15 □ 16-20 geographically diverse locations.

5. Our firm has performed work in the following locations within the last five years:

□ Ali Al Salem Air Base □ Kuwait □ CENTCOM AOR

6. Our firm has constructed the following facility types / projects:

□ Construction projects

□ Warehouses

□ Utilities

□ Magazines

□ Helipads

□ Taxiways

7. Our firm □ does / □ does not have the above capabilities, qualifications, AND EXPERIENCE to perform design-bid-build (DBB) projects in an overseas environment to include CONSTRUCTION MANAGEMENT, LOGISTICAL SUPPORT for personnel, materials and equipment, in areas, including subcontractors and suppliers.

8. If awarded a contract our firm □ is / □ is not financially capable to perform the cost of the construction and related services.

9. Based on your previous experience as a prime contractor or joint venture, identify the percent of work effort you would expect to self-perform. __________

10. If your firm has successfully performed construction of facilities and associated services for U.S. or Foreign military commands / facilities / projects in Kuwait or the CENTCOM AOR, please list this experience in the below Construction of Similar Size Scope Projects template.

CAPABILITY STATEMENT - W912ER25R0003 Design and Construct Apache Shore Power

CONSTRUCTION OF SIMILAR SIZE SCOPE

PROJECTS PROJECT EXPERIENCE TEMPLATE

PROJECT 1

Project Title:

Location:

Address of Work Site:

Contract Number: Task Order Number Date of Performance: From To Total Contract Value:

Total Value to Date:

Procuring Activity:

Procurement Point of Contact: Name: Phone:

Email:

Type of Agency: □ Fed Gov □ State Gov □ Municipality □ Private □ Other (describe):

Performed as: □ Prime Contractor □ Subcontractor □ Other (describe):

General Description of Work:

Describe your specific duties/roles, being sure to list relevant criteria associate with this project in relation to those described in the market research; notice:

PROJECT 2

Project Title:

Location:

Address of Work Site:

Contract Number: Task Order Number Date of Performance: From To Total Contract Value:

Total Value to Date:

Procuring Activity:

Procurement Point of Contact: Name: Phone:

Email:

Type of Agency: □ Fed Gov □ State Gov □ Municipality □ Private □ Other (describe):

Performed as: □ Prime Contractor □ Subcontractor □ Other (describe):

General Description of Work:

Describe your specific duties/roles, being sure to list relevant criteria associate with this project in relation to those described in the market research; notice:

PROJECT 3

Project Title:

Location:

Address of Work Site:

Contract Number: Task Order Number Date of Performance: From To Total Contract Value:

Total Value to Date:

Procuring Activity:

Procurement Point of Contact: Name: Phone:

Email:

Type of Agency: □ Fed Gov □ State Gov □ Municipality □ Private □ Other (describe):

Performed as: □ Prime Contractor □ Subcontractor □ Other (describe):

General Description of Work:

Describe your specific duties/roles, being sure to list relevant criteria associate with this project in relation to those described in the market research; notice:

PROJECT 4

Project Title:

Location:

Address of Work Site:

Contract Number: Task Order Number Date of Performance: From To Total Contract Value:

Total Value to Date:

Procuring Activity:

Procurement Point of Contact: Name: Phone:

Email:

Type of Agency: □ Fed Gov □ State Gov □ Municipality □ Private □ Other (describe):

Performed as: □ Prime Contractor □ Subcontractor □ Other (describe):

General Description of Work:

Describe your specific duties/roles, being sure to list relevant criteria associate with this project in relation to those described in the market research; notice:

PROJECT 5

Project Title:

Location:

Address of Work Site:

Contract Number: Task Order Number Date of Performance: From To Total Contract Value:

Total Value to Date:

Procuring Activity:

Procurement Point of Contact: Name: Phone:

Email:

Type of Agency: □ Fed Gov □ State Gov □ Municipality □ Private □ Other (describe):

Performed as: □ Prime Contractor □ Subcontractor □ Other (describe):

General Description of Work:

Describe your specific duties/roles, being sure to list relevant criteria associate with this project in relation to those described in the market research; notice: