Attachment 01-Sources Sought Questionnaire.docx

SOURCES SOUGHT QUESTIONNAIRE

CONTRACTOR INFORMATION FORM

Use this form to provide contractor’s general information. The box at the bottom of the form may be used to clarify any requested information. Please respond to all questions as completely as possible.

SECTION 1. GENERAL DUNS: _______________ CAGE Code: ___________

1. Business Name: (Insert Business Name

2. Business Address: (Insert Business Address)

3. NAICS Codes: (Insert all applicable NAICS Codes)

4. Responsible Point of Contact:

SECTION 2. TYPE OF BUSINESS: (check all that apply)

|_| Small business |_| Veteran-owned small business

|_| Small Disadvantaged business |_| Service-disabled veteran-owned small business

|_| HUB Zone small business

Is your firm:

|_| Prime Contractor |_| Subcontractor

|_| Other – explain_________________________

Section 3. ACQUISITION INTEREST:

Interested in responding to solicitation when issued (If no, skip to Section 5 questions)

|_|Yes |_| No

Countries/Areas the firm is not interested in working:

(Check boxes of locations NOT interested; leave unchecked if yes)

|_| 99th Regional Support Command Joint Base McGuire-Dix-Lakehurst, NJ

|_| 81st Regional Support Command Fort Jackson, SC

|_| 88th Regional Support Command Fort McCoy, WI

|_| 63rd Regional Support Command Mountain View, CA

SECTION 4. CONTRACTOR ARRANGEMENT

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

|_| Sole Contractor, |_| Prime contractor performing at least 25% of the work with subcontractor(s), |_| Prime contractor performing at least 25% of the work with the following team member subcontractor(s) (Insert busines name, business size, cage code, and work which will be subcontracted), or

|_| Joint venture with (Insert busines name, business size, and cage code). (See FAR subpart 9.6 for Government policy on teaming arrangements, as well as 8(a) Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403 (c) and 13 CFR 125.15(b). )

SECTION 5. CAPABILITY

1. Explain your team’s capability and qualifications to provide full time on-site fire protection facilities support services at the following locations: Joint Base McGuire-Dix-Lakehurst, NJ; Fort Jackson, SC; Fort McCoy, WI and Mountain View, CA.

2. Has your firm been awarded a Department of Defense service contract for fire protection and health, life and safety building code assessments in the past five (5) years? Comment by Goodsell, Rebecca J CIV USARMY CEHNC (USA): Have codes changed significantly in the past 3 years? If not, can this be revised to 5 years? Are DoD codes significantly different than industry? Question 3 asks about civilian work. Comment by Bushnell, Wesley A CIV USARMY CEHNC (USA): I have no issue with changing the period from three to five years.

Reference to civilian/military has been removed.

|_| Yes |_| No

3. Explain your team’s capability and qualifications providing technical review of construction Department of Defense projects for fire, health, life and safety code compliance.

4. Does your firm employ fire inspectors having NICET or NFPA certifications? If so, how many?

|_| Yes |_| No If Yes, number of employees: ______________

5. Explain your team’s capability to provide quick response for onsite fire protection code assessment at locations throughout the continental United States (defined as comprising of only the 48 contiguous states).