Attachment 5 - Pre-Award Survey.pdf
PDF 177 KB Posted
- Attached to
- Sacramento River Erosion Contract 1 Federal contract opportunity
- Solicitation number
- W9123822B0004
About this file
The attached document is a pre-award survey template for a construction contractor. It requests information on the contractor's organization, personnel, equipment, financial data, experience on past construction projects valued over $2 million in the last six years, and largest single project. Schedules A, B, and C require details on existing commitments, completed projects in the last five years including those over $2 million for the Department of Defense, and owned equipment and facilities to be used for a prospective contract along with condition and availability.
The related federal contract opportunity is solicitation number W9123822B0004 for the Sacramento River Erosion Contract 1 issued by the Department of the Army Corps of Engineers Engineering District Sacramento. It is a 100% small business set aside with bids due January 25, 2022 at 10:00AM PST. An organized site visit meeting time and place is provided to review the solicitation details.
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Text version
The Government will treat the pre-award survey information submitted by the offeror as proprietary.
CONSTRUCTION CONTRACTOR DATA DATE:
Firm Name and Telephone Number Main Office Address (Street, City, and State)
Branch Offices Services Rendered Construction Design Consultant
Organization Individual � Joint Venture Partnership � Corporation
Date Organized Date Incorporated:
State:
Names of Officers and Other Key Personnel
I – PRESENT PAYROLL PERSONNEL (List Number of Each Category Below) Partners:
Officers:
Other Key:
Remainder: Subtotal Permanent:
Maximum Personnel at Any Time:
Date:
Total:
II—EQUIPMENT OWNED III—FINANCIAL DATA AS OF
(DATE): Present Value ($)
Current Assets:
Acquisition Cost ($) Current Liabilities:
Net Worth:
IV—TOTAL VALUE OF CONSTRUCTION AND DEMOLITION WORK IN
PAST 6 YRS EXCLUSIVE OF JOINT VENTURE (LIST MOST RECENT
FIRST)
V—LARGEST JOB EVER
CONTRACTED
(If Other Than in Past Six Years)
$ LARGEST JOB IN PAST 6 YRS Contract Amount:
Date: Description:
Owner:
$ Contract Amount:
Date: Description:
Owner:
Avg. Annual Income
VI—TYPE OF WORK IN WHICH FIRM SPECIALIZES
NAME AND POSITION/TITLE OF PERSON SIGNING SIGNATURE
See attachment for explanations or detailed description of item(s) reported above.
CONSTRUCTION CONTRACTOR DATA – SCHEDULE A – EXISTING COMMITMENTS
List below the construction projects your firm currently has under way, including recent awards. Also list construction projects for which your firm is the apparent successful offeror/bidder, but for which a contract has not yet been awarded.
CONTRACT
NUMBER
CONTRACT
AMOUNT
DESCRIPTION/
LOCATION
ORGANIZATION/
CONTACT PERSON/
PHONE NUMBER
PERCENT
COMPLETE
CONSTRUCTION CONTRACTOR DATA – SCHEDULE B – COMPLETED PROJECTS
List below the principal construction projects your firm has completed within the past five years, including all DoD contracts with a total value exceeding $2,000,000.00.
CONTRACT
NUMBER
CONTRACT
AMOUNT
DESCRIPTION/
LOCATION
ORGANIZATION/
CONTACT PERSON/
PHONE NUMBER
PERCENT
SUBLET
CONSTRUCTION CONTRACTOR DATA – SCHEDULE C –
CONSTRUCTION AND/OR TECHNICAL EQUIPMENT
List total equipment and facilities owned for performing the prospective contract and present status as to whether or not it is currently committed to existing contracts.
QUANTITY
DESCRIPTION
CONDITION
YEARS OF
SERVICE
PRESENT
STATUS
File details come from the government source that posted it. Updated .