B08 - Attachment 6 - Pre-Award Survey .pdf
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- Solicitation number
- W9123822B0003
About this file
This document contains a pre-award survey form for a construction contractor and details of a related federal contract opportunity issued by the U.S. Army Corps of Engineers Engineering District Sacramento. The pre-award survey form requests information on the contractor's organization, personnel, equipment, financial data, experience on past construction projects valued between $5-10 million, and the types of construction and technical equipment owned. The federal contract opportunity is for design-bid-build construction services along roughly 5,500 feet of stream bank and stabilization of an existing levee to protect critical infrastructure against erosion. The estimated value is between $25-100 million. Services will require multiple concurrent efforts to complete defined work items within specified periods of performance. The solicitation will use PSC Code Y1LC and NAICS code 237990 and be unrestricted using a Pre-Qualified Sources List. A subcontracting plan will be required from the apparent low offeror if a large business.
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PRE-AWARD SURVEY
CONSTRUCTION CONTRACTOR DATA DATE:
Firm Name and Telephone Number Main Office Address (Street, City, and State)
Branch Offices Services Rendered
(a) Construction _
(b) Design _
(c) Consultant _
Organization _Individual _ Joint Venture Partnership Corporation
Date Organized Date Incorporated:
State:
Names of Officers and Other Key Personnel
I – PRESENT PAYROLL PERSONNEL (List Number of Each Category Below) Partners:
Officers:
Other Key:
Remainder: Subtotal Permanent:
Maximum Personnel at Any Time:
Date:
Total:
II—EQUIPMENT OWNED III—FINANCIAL DATA AS OF
(DATE): Present Value ($) 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 between $5M and $10M. 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 six years, including all DoD contracts.
CONTRACT
NUMBER
CONTRACT
AMOUNT
DESCRIPTION/
LOCATION
ORGANIZATION/
CONTACT
PERSON/ PHONE
NUMBER
PERCENT
SUBCONTR
ACTED
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
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