Capability Statement - Response to IO Combined FY26 SS.pdf
PDF 1 MB Posted
- Solicitation number
- W9127S26Q1000
About this file
This is a Capability Statement template issued by the U.S. Army Corps of Engineers, Little Rock District, designed for firms to demonstrate their qualifications for federal contracting opportunities.
The form requires companies to provide essential business information including project title, business name and address, UEI number, CAGE code, and point of contact details. Firms must identify their business size classification by marking all applicable categories: Small Business, SBA Certified 8A Program Participant, SBA Certified Historically Underutilized Business Zones (HUB-Zone), Service-Disabled Veteran-Owned Small Business (SDVOSB), or Woman-Owned Small Business (WOSB). The primary capability section requires submission of at least three project examples from the past 3–5 years demonstrating experience with comparable work scope and complexity, with each example including project description, customer name, timeliness of performance, customer satisfaction level, and dollar value. The form includes an extensive disciplinary checklist covering architectural, engineering, planning, and management specialties relevant to healthcare facility projects. Specific expertise requirements include architects with ten years of healthcare facility design experience, mechanical engineers with medical gas systems knowledge, and healthcare planners with three years of experience in systems such as MEPRS, CHCS, MCFAS, and M2 Information Systems. The template emphasizes that small businesses must comply with FAR 52.219-14 limitations on subcontracting, requiring at least 50 percent of personnel costs to be expended on employees of the concern. The form concludes with a statement of interest section and requires completion signature and authorization from company representatives.
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| File | Type | Posted |
|---|---|---|
| IO Combined FY26 Sources Sought.pdf |
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Text version
Project Title:
Business Name & Address:
UEI Number: CAGE Code:
Point of Contact (POC) Name:
Phone :
E-Mail Address:
Business Size: Mark ALL That Apply
Capabilities:
Provide examples of the firm's capability to perform a contract of this magnitude and complexity (include contracts performed with a similar scope and comparable work performed within the past 3-5 years.
Provide at least 3 examples below.
Capability Statement U.S. Army Corp of Engineers
Little Rock District
Small Business
SBA Certified 8A Program Participant
SBA Certified Historically Underutilized Business Zones (HUB-Zone)
Service-Disabled Veteran-Owned Small Business (SDVOSB)
Woman-Owned Small Business (WOSB)
PROJECT 1
Include a brief description of the project, customer name, timeliness of performance, customer satisfaction, and dollar value of the project.
PROJECT 2
PROJECT 3
Please check to indicate the firm’s capability to provide (either in-house or sub-contracted) the following required disciplines:
____Architect (ten years + experience in the planning and/or design of healthcare facilities required)
____Building Information Modeling (BIM) Specialist
____CADD Specialist
____Commissioning Agent
____Construction Quality Assurance Representative
____Construction Technician
____Engineer, Anti-Terrorist/Force Protection (AT/FP)
____Engineer, Civil
____Engineer, Construction
____Engineer, Cost (experienced with military breakdown formats for estimates and familiar with preparation of detailed cost estimating procedures and construction schedules)
_____Engineer, Electrical (with expertise in (but not limited to) low voltage systems, telecommunications, data systems, and electrical control systems) _____Engineer, Environmental
____Engineer, Fire Protection
____Engineer, Geotechnical
____Engineer, Mechanical (experience in medical gas systems required)
____Engineer, Structural
____Engineer, Value (Certified)
____Engineering Technician
____Environmental Design Personnel (Registered)
____Environmental Survey Personnel (asbestos, lead based paint, soil, etc.)
____Geologist
____Industrial Hygienist
____Interior Designer
____Life Safety Specialist
____Medical Equipment Planner
____Professional Land Surveyor (Registered) & Survey Crew
____Program Manager
____Project Manager
____Project Scheduler (with experience in Primavera)
____Quality Control Manager
____Technical Writer
____Health Care Planner (three years + experience in the use of the following systems:
Medical Expense and Performance Reporting System (MEPRS), Center for Health Care Strategies
(CHCS), Managed Care Forecasting and Analysis System (MCFAS), and M2 Information Systems)
Small Businesses are Reminded: In accordance with RFO 52.219-14, Limitations on Subcontracting, at least 50% of the cost of contract performance incurred for personnel shall be expended for employees of the concern.
Statement of Interest:
Yes, this firm is interested in bidding on the solicitation when it is issued.
Additional Comments:
Form Completed by Name & Title:
Signature:
| business name and address: |
| project 2: |
| project 3: |
| project 1: |
| additional comments: * |
| CAGE: |
| PHONE: |
| EMAIL ADDRESS: |
| BOX PG1: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| BOX PG3: Off |
| Check Box11: |
| 0: Off |
| 1: Off |
| 2: Off |
| 3: Off |
| 4: Off |
| 5: Off |
| 6: Off |
| 7: Off |
| 8: Off |
| 9: Off |
| 10: Off |
| 11: Off |
| 12: Off |
| 13: Off |
| 14: Off |
| 15: Off |
| 16: Off |
| 17: Off |
| 18: Off |
| 19: Off |
| 20: Off |
| 21: Off |
| 22: Off |
| 23: Off |
| 24: Off |
| 25: Off |
| 26: Off |
| 27: Off |
| 28: Off |
| 29: Off |
| 30: Off |
| 31: Off |
| poc name: |
| name & title: |
| Project Title: |
| UEI: |
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