A10 Sources Sought Submittal Questionnaire.docx
DOCX document 18 KB Posted
- Attached to
- PIMC Maintenance & Improvements (M&I) Renovations Federal contract opportunity
- Solicitation number
- 75H70122R00080
About this file
This document contains a sources sought questionnaire and description of a federal contract opportunity for maintenance and improvement projects at the Phoenix Indian Medical Center in Phoenix, Arizona. Interested firms are requested to submit the sources sought questionnaire by September 1st, 2022 to provide company information, bonding capacity, and descriptions of up to five relevant past projects as both prime contractor and subcontractor from the last seven years. The contract opportunity involves furnishing all labor, materials, equipment and services for abatement of asbestos and replacement of flooring, tiles, countertops, furniture and mechanical systems. The work will be categorized under PSC code Y1DA and NAICS code 236220 with an estimated value between $1,000,000 to $5,000,000. Responses will be reviewed to determine if the acquisition can be set aside as 100% for Indian Economic Enterprise firms or small businesses.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A10 SS Attach IHS IEE Representation Form_Jan 2022.pdf |
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Text version
Sources Sought Submittal Questionnaire Company Information
Company Name
Website
Physical Address
SAM UEI Number
Point of Contact
Contact Name
Phone Number
Email Address
Proposal, Yes or No?
If a solicitation is issued, will your firm/company be submitting a proposal? Indicate Yes or No.
Type of Business
Native American-owned (IEE/ISBEE), SBA certified 8(a), SBA Certified HUB Zone, Service Disabled Veteran-Owned Small Businesses (SDVOSB), Women Owned Small Business (WOSB), and/or Small Businesses (SB). For more information refer to http://www.sba.gov. IEE firms must submit Attachment 1: IHS IEE Representation Form (Jan 2022) along with the controlling enterprise’s Tribal enrollment/certificate of Degree of Indian Blood documentation
Type of Business?
Bond Capacity
Single Bonding Capacity
Aggregate Bonding Capacity
Experience Submission
Requirements: Submit at least two (2) but no more than five (5) projects completed by your firm within the last seven (7) years that are similar to the work that will be required under this project
PROJECT 1
Project Name and Number
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 2
Project Name and Number
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 3
Project Name and Number
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 4
Project Name and Number
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
PROJECT 5
Project Name and Number
Prime or Subcontractor?
Dates of Construction
Contract Value
Contract Location
Contract Completion Date
Description of Scope Performed and Complexity
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
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