Attachment 1 Corporate Background Information Questionnaire.pdf

REQUEST FOR INFORMATION

Equipment Support Services (ESS) Contiguous United States

(CONUS) Contract

Attachment 1: CORPORATE BACKGROUND INFORMATION QUESTIONNAIRE

ESS CONUS CONTRACT RFI Page 1 of 4

Company Information

Name of Company:

Mailing Address:

Cage Code: DUNS Number:

Phone Number: FAX Number:

Company Point of Contacts

Name of Primary: Title:

Email: Fax Number:

Name of Alternate: Title:

Email: Fax Number:

NAICS CODE(s):

Annual Gross Receipts for the last 3 years:

2022 2023 2024

Socio- Economic Status: Large Business Small Business

(circle one)

Government Certifications (Place a check next to all that apply) 8(a) Certified or 8(a) Joint Venture Small Disadvantaged Business Hubzone Certification

Ownership and Self-Certifications (Place a check next to all that apply)

Any Minority Owned:

__ Any Native American Owned:

__ Tribally Owned __ Alaskan Native Corp Owned __ Native Hawaiian Org Owned __ Other Native American __ Other Minority Owned

Any Women-Owned Small Business:

__ Women-Owned Small Business under the Women-Owned Small Business Program

__ Economically Disadvantaged Women-Owned Small Business under the Women-Owned Small Business Program

__ Women-Owned Small Business Joint Venture __ Economically Disadvantaged Women-Owned

Small Business Joint Venture Community Development

Corporation (CDC) Owned Service Disabled Veteran-Owned

Self-Certified Small Disadvantaged Business Veteran Owned (including Service Disabled

Veteran Owned)

CORPORATE BACKGROUND INFORMATION QUESTIONNAIRE

ESS CONUS CONTRACT RFI Page 2 of 4

Specific information NAVFAC is seeking:

1Q. Does your company regularly engage in the business of providing services for the preventative maintenance, refurbishment, repair, overhaul, Corrosion Prevention and Control, modernization, and modification of over-the-road vehicles (i.e. gasoline and diesel driven automobiles and trucks), small boats, and/or offroad equipment (e.g. heavy construction equipment, industrial material handling equipment, electrical generators, etc.)?

1A. Circle either: YES or NO

2Q. If answer to Question 1 was yes, please provide an overview of vehicle types and/or equipment types your company typically works on.

2A.___________________________________________________________________ 3Q. If answer to Question 1 was yes, please provide an overview of services your company typically provides for these vehicles and equipment.

3A.___________________________________________________________________

4Q. If answer to Question 1 was yes, is your company familiar with, or has previously applied any Military Standards in the performance of your work? If so, please list the Military Standards utilized.

4A.___________________________________________________________________

5Q. If answer to Question 1 was yes, how long has your company provided these types of services? (Provide in YEARS and MONTHS)

5A.___________________________________________________________________

(continued)

ESS CONUS CONTRACT RFI Page 3 of 4

6Q. If answer to Question 1 was yes, what are some of the internal technical capabilities inherent to your current business and/or facilities? (e.g. Diagnostic instruments, engine rebuilds, large tire changing, body repairs, equipment painting, etc.).

6A.___________________________________________________________________

7Q. If answer to Question 1 was yes, is your company capable of providing similar service at the four (4) locations outlined above?

If so, please discuss capabilities you can provide at each location.

7A. __________________________________________________________________

8Q. If applicable, on a separate piece of paper please list any contracts your company is currently performing that would be considered the same as or similar to this effort (size, scope, complexity). In addition, please include any you may have completed within the last five years.

Please include:

(a) Name of Contracting Activity,

(b) Contract type (FFP, cost, IDIQ, or Combination),

(c) Period of Performance,

(d) Basic Contract Award Amount with Options,

(e) Contract Value Per Year,

(f) Current/Final Contract Amount,

(g) Summary of Contract Work,

(h) Contracting Officer Name and Current Telephone Number, and

(i) List of Major Subcontractors including name, address, and telephone number of primary point of contact.

9Q. Does your company normally submit a proposal as its own business entity or as a Joint Venture when competing for this type of work?

9A. Circle either Own Business Entity or Joint Venture

10Q. If competing as a Joint Venture, list those firms with whom you are affiliated.

10A.__________________________________________________________________

(continued)

ESS CONUS CONTRACT RFI Page 4 of 4

11Q. Should the solicitation be set-aside for Small Business, will the Small Business be able to meet the FAR 52.219-14, LIMITATIONS ON SUBCONTRACTING (i.e.: at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern)?

11A. Circle either YES or NO

13Q. For Small Businesses, please identify your business type (See notes (1) and (2) below):

___ Small Business ___ Service-Disabled Veteran-Owned

Small Business ___ Small Disadvantaged ___ Veteran-Owned Small Business ___ 8(a) Small Business ___ Historically Black Colleges and

University ___ Economically Disadvantaged ___ Woman-Owned Small Business ___ HUBZone Small Business

NOTE:

(1) Please mark all categories under which your company qualifies. To qualify as an 8(a), Small Disadvantaged or HUBZone Small Business, your company must be certified by the Small Business Administration.

(2) The Government recognizes the integrity and validity of team arrangements (including joint-ventures) to act as potential prime contractors (FAR 9.601). However, some affiliation rules apply to small business joint ventures in order to maintain their small business status. Please refer to FAR Part 19, 13 CFR 124, and 13 CFR 126.

(3) All data received in response to this Source Sought Notice marked or designated, as corporate or proprietary information will be fully protected from release outside the Government.

Additional Comments: