Capability Statement for Interested Vendors.docx
DOCX document 20 KB Posted
- Solicitation number
- W5J9JE25Z9999
About this file
This is a Capability Statement template for vendors interested in a U.S. Army Corps of Engineers (USACE) contract for constructing a Role II Medical Facility in Syria. The document provides a structured format for potential contractors to outline their business capabilities, including business classification (such as small business, veteran-owned, etc.), proposed contracting arrangement (sole, prime, or joint venture), and specific capabilities related to the project.
Key details include the requirement to construct a one-story clear-span metal building medical structure with complete HVAC and electrical systems, fire safety equipment, and compliance with international codes. Vendors must demonstrate capabilities in medical facility construction, potential capacity to perform at least 50% of construction costs, ability to obtain Defense Base Act insurance, and experience with Synchronized Predeployment and Operational Tracker (SPOT) requirements. The project is a pre-solicitation opportunity with the Department of the Army Corps of Engineers seeking to establish an acquisition strategy for the North Landing Zone (NLZ) medical facility construction in Syria.
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| File | Type | Posted |
|---|---|---|
| Sources Sought PAN NLZ Role 2 - W5J9JE25Z9999.pdf |
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Text version
Capability Statement
SECTION 1. GENERAL
1. Business Name:
2. Business Address:
3. Unique Entity Identifier (UEI) / Cage Code:
4. JCCS Number
5. NAICS Codes: (Insert all applicable NAICS Codes)
6. Responsible Point of Contact:
| Name: | (Insert Name) | |
| Telephone: | (Insert Telephone Number) | |
| Email: | (Insert Email Address) |
Check All That Apply: Our firm is:
|_| Small business |_| 8(a) small business |_| Veteran-owned small business |_| Service-disabled veteran-owned small business |_| HUBZone small business |_| Small disadvantaged business |_| Women-owned small business concern |_| None of the above
SECTION 2. CONTRACTOR ARRANGEMENT
1. Our firm will be proposing on this project as a:
|_| Sole contractor |_| Prime contractor performing at least 70% of the work with subcontractor(s) |_| Prime contractor performing at least 50% of the work with the following team member subcontractor(s) (Insert business name, business size, cage code, and work which will be subcontracted).
|_| Joint venture with (Insert business name, business size, and cage code).
(See FAR subpart 9.6 for Government policy on teaming arrangements, as well as 8(a) Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403 (c) and 13 CFR 125.15(b).)
SECTION 3. CAPABILITY
1. If awarded a contract, the maximum capacity our firm can adequately perform and provide a Performance and Payment Bonds for any contract (Insert maximum capacity in dollars).
2. Our firm |_| has/ |_| has not performed work in Syria. (Check box)
3. Our firm |_| is/ |_| is not capable and interested in performing work in Syria. (Check box)
4. Our firm |_| has/ |_| has not the necessary documents/permits/certifications required to perform work in Syria. (Check box)
5. Our firm |_| has/ |_| has not constructed projects on military bases in Syria. (Check box)
6. Our firm |_| does/ |_| does not have the capability, qualifications, AND EXPERIENCE to execute taxiway repairs.
7. If awarded a contract, our firm |_| is/ |_| is not capable to perform at least 50% of the cost of the construction and related services.
8. Based on your previous experience, identify the percent work effort you would expect to subcontract.
9. Based on your previous experience, identify and describe any effort related to medical facility construction. (Provide name of project location, type of work performed, role of firm (prime, sub, team member), dollar value of work performed by your firm, percentage of total contract value performed by your firm, and date work was performed. Include no more than two single-spaced, 10 font, 8 1/2" x 11" pages containing this information).
10. Our firm |_| is/ |_| is not experienced in obtaining Defense Base Act (DBA) insurance for our personnel.
11. Our firm |_| is/ |_| is not experienced with operating under Synchronized Predeployment and Operational Tracker (SPOT) requirements.
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