B08 RFP Atch 4 - Preaward Survey.pdf

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Attached to
DDJC Tracy Well #7 Federal contract opportunity
Solicitation number
W9123821R0049
Issued by
Department of the Army Corps of Engineers Engineering District Sacramento

About this file

This pre-award survey document requests contractor data from offerors interested in the REPLACE WELL #7 AT DDJC TRACY project. The solicitation seeks to replace well number 7 at the DDJC Tracy facility and was issued by the Department of the Army Corps of Engineers Engineering District Sacramento. It includes an RFP, technical documents as attachments, and schedules offerors to provide information on existing commitments, completed projects, equipment, and financial details by the scheduled site visit on July 1, 2021 to be considered for the contract award.

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Text version

Attachment 4 – Pre-Award Survey

Pre-Award Survey Information

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 six years, including all DOD contracts with a total value exceeding $1,000,000.00.

CONTRACT

NUMBER

CONTRACT

AMOUNT

DESCRIPTION/

LOCATION

ORGANIZATION/

CONTACT PERSON/

PHONE NUMBER

PERCENT

SUBLET

Pre-Award Survey Information

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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