Attachment 1 SS Submittal Questionnaire.docx
DOCX document 18 KB Posted
- Solicitation number
- 75H70126R00008
About this file
This document is a Sources Sought Submittal Questionnaire for the Indian Health Service (IHS) related to the Grindstone Water Storage Tank & Treatment Monitoring project in Elk Creek, California. The questionnaire seeks detailed information from potential contractors, including company details, business type, bonding capacity, and project experience. Respondents are asked to provide up to five similar projects completed within the last six years, highlighting their capabilities in water and sewer line construction.
The sources sought notice aims to conduct market research to determine if the project can be set aside for Indian Economic Enterprise (IEE) firms or small businesses, with a focus on diverse business types including Native American-owned, 8(a) certified, HUB Zone, women-owned, service-disabled veteran-owned, and small disadvantaged businesses. The project is anticipated to be a 100% small business set-aside under NAICS code 237110, with a size standard of $45 million and a performance period of 180 calendar days after notice to proceed. No proposals are being requested at this stage, and respondents will not be notified of the results of this market research.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 2 IHS IEE Representation Form.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 six (6) 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 (expand as needed)
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 (expand as needed)
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 (expand as needed)
Federal, State, Tribal, or Other?
Project Reference(s)/Agency Point of Contact (Title, Name, Phone, Email)
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