Attachment 5 - Preaward Survey.pdf

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West Sac Yolo Bypass - South Improvement Project
Solicitation number
W9123823B0010
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This document includes a pre-award survey for a construction contractor and details of a related federal contract opportunity for improvement projects on the Yolo Bypass East Levee in West Sacramento, California. The pre-award survey requests information from construction contractors such as company details, personnel counts, equipment owned, financial data, descriptions and values of past projects, specializations, and current project commitments. The related federal contract opportunity is solicited by the U.S. Army Corps of Engineers, Sacramento District and involves the construction of a combination stability/seepage berm and rock slope protection along segments of the Yolo Bypass East Levee identified as deficient. The project value is estimated between $5-10 million. The NAICS code is 237990 for other heavy and civil engineering construction and PSC code is Y1LC for construction of tunnels and subsurface structures. The solicitation is unrestricted and subcontracting plans will be required for large businesses.

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PRE-AW ARD SURVEY

CONSTRUCTION CONTRACTOR DATA I DATE:

Firm Name and Telephone Number Main Office Address (Street, City, and State)

Branch Offices Services Rendered

(a) Construction

(b) Design_

(c) Consultant

Organization Date Organized Date Incorporated:

Individual- State: _ Joint Venture Partnership Corporation

Names of Officers and Other Key Personnel

I - PRESENT PAYROLL PERSONNEL (List Number of Each Category Below) Partners: Remainder: Subtotal Permanent:

Officers: Total: Maximum Personnel at Any Time:

Other Key: Date:

II-EQUIPMENT OWNED III-FINANCIAL DATA AS OF

Present Value($) (DATE):

Current Assets:

Acquisition Cost ($) Current Liabilities:

Net Worth:

IV-TOT AL VALUE OF CONSTRUCTION AND DEMOLITION WORK V-LARGEST JOB EVER

IN PAST 6 YRS EXCLUSIVE OF JOINT VENTURE (LIST MOST CONTRACTED

RECENT FIRST) (If Other Than in Past Six Years)

$ LARGEST JOB IN PAST 6 YRS Contract Amount:

$ Contract Amount: Date:

$ Date: Description:

$ Description:

$ Owner:

$ 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.

Page I of4

CONSTRUCTION CONTRACTOR DATA- SCHEDULE A- EXISTING COMMITMENTS

List below the construction projects your firm currently has under way between $1 OM and $25M. 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 CONTRACT DESCRIPTION/ ORGANIZATION/ PERCENT

NUMBER AMOUNT LOCATION CONT ACT PERSON/ COMPLETE

PHONE NUMBER

Page 2 of4

CONSTRUCTION CONTRACTOR DATA- SCHEDULE B - COMPLETED PROJECTS

List below the principal construction projects your firm has completed within the past six years, including all DoD contracts.

CONTRACT CONTRACT DESCRIPTION/ ORGANIZATION/ PERCENT

NUMBER AMOUNT LOCATION CONTACT SUBCONTR

PERSON/ PHONE ACTED

NUMBER

Page 3 of4

CONSTRUCTION CONTRACTOR DAT A- 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 PRESENT

SERVICE STATUS

Page4 of4

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