Capabilities Survey.pdf

Industry Day

Integrated Design-Build/Initial Outfitting IDIQ MATOC

Air Force Medical Service

Capabilities Survey

Firm: ___________________________________________ Small ________ Large________

1. Health Facility Design: Does your firm have experience designing healthcare facilities?

Yes/No

• Appropriate architectural themes_____

• Functional layout and departmental interaction_____

• Patient/Staff flow considerations_____

• Medical gas systems_____

• Sterile environments_____

• Emergency power and fire protection systems_____

• Mass notification systems_____

2. Health Facility Renovation/Construction: Does your firm have experience renovating/constructing healthcare facilities? Yes/No

• Developing/maintaining budgets_____

• Maintaining construction schedule requirements_____

• Maintaining a quality control program _____

• Maintaining continued operations_____

3. Medical Equipment: Does your firm have experience in medical equipment planning/design/procurement/installation: Yes/No

• Determine new/reuse/excess/disposition/disposal requirements_____

• Conducting user need interviews with medical facility staff____

• Coordinating equipment use standards with medical facility staff_____

• Conduct detailed inventories/produce reports_____

4. Project Management: Does your firm have experience managing design-build construction projects for healthcare facilities? Yes/No

• Developing/maintaining budgets_____

• Maintaining construction schedule requirements_____

• Maintaining a quality control program _____

• Risk assessment and mitigation_____

5. Work on a Military Installation: Does your firm have experience designing military facilities and working on military installations? Yes/No

• Anti-Terrorism Force Protection_____

• Intrusion Detection_____

• Personal identity verification_____

• Security requirements_____

• Preparing and delivering executive briefings_____

• Public relations/Media support_____

Industry Day

Integrated Design-Build/Initial Outfitting IDIQ MATOC

Air Force Medical Service

6. Transition Planning: Does your firm have experience in transitioning medical staff, resources, equipment and furniture: Yes/No

• Coordinating transition plans with construction project schedules ______

• Developing project relocation schedules _____

• Coordinating storage/warehousing_____

• HIPPA compliance_____

7. NAICS Codes: What NAICS codes is your firm currently registered under?

8. If a small business set-aside pool is established, IAW FAR 19.502-2(c), any concern proposing to furnish a product that it did not itself manufacture must furnish the product of a small business manufacturer. Verify that you will be able to meet this requirement for all products/commodities furnished under the contract.

Yes, we will meet the requirement_____

We cannot meet this requirement_____

9. Provide your bonding level expressed in dollars:

Construction Bonding Level (per contract) $____________________

Construction Bonding Level (aggregate) $____________________

10. Provide the number of turn-key, cradle to grave Design-Build Construction projects you have performed in the past seven years as a Prime Contractor according to contract value:

$500 K: __________

$500 K-$1 M: __________

$1 M-$5 M: __________

$5 M-$10 M: __________

$10 M-$25 M: __________

$25 M-$100 M: __________

$100 M-$250 M: __________

$250 M-$500 M: __________

>$500 M: __________

11. Indicate the geographic regions in which you have the capability to perform Design-Build

Construction services as a Prime Contractor:

US Northeast: _____

US Southeast: _____

US Midwest: _____

US Southwest: _____

US West: _____

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