Contractor Info Form.docx

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Perform preventive maintenance and inspection service orders for Heating, Ventilation, and Air Conditioning (HVAC) Systems at various locations in the U. S. Commander Fleet Activities Yokosuka (CFAY), JAPAN
Solicitation number
N4008424B0410
Issued by

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This document is a Sources Sought - Contractor Information Form for receiving and disposal or recycling services of incinerated ashes. The form requests general contractor information such as firm name, point of contact, DUNS number, and CAGE code. It also asks contractors to provide details on up to 5 relevant past projects, including contract information, work type, customer/owner details, and the contractor's role (prime or subcontractor). The form is related to a pre-solicitation announcement by the Department of the Navy Naval Facilities Engineering Command for preventive maintenance and inspection services for HVAC systems at various locations, including in Japan. The pre-solicitation is for information gathering and planning purposes only, and is not a request for proposal, quote, or bid. No reimbursement will be provided for responding to this sources sought notice.

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Sources Sought Notice -24 HVAC.pdf PDF

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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for

RECEIVING AND DISPOSAL OR RECYCLING SERVICES OF INCINERATED ASHES

Use this form to provide contractor’s general information. Please limit response to one page. The box at the bottom of this form may be used to clarify any requested information.

1. Contractor Information:

Firm Name:
Address:
Name of POC for firm:
Phone Number of POC:
Email of POC:

2. System for Awards Management:

DUNS Number: ___________________ Cage Code: __________________

3. This space may be used to provide any additional information that is relevant:

(Rev. 03/13)

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for

RECEIVING AND DISPOSAL OR RECYCLING SERVICES OF INCINERATED ASHES

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to 3 projects. Please limit response to two pages per project.

1.
Contractor Name:
2.
Project No. (check one):
|_| - 1|_| - 2|_| - 3|_| - 4|_| - 5
3.
Contract Number:
Delivery/Task Order No.:
Project Number:
Title:
Location:
4.
Award Date (mm/dd/yy):
5.
Final Contract Price:
$
Completion Date (mm/dd/yy):
(incl. all options and mods)
Project is % complete (on submission due date)
This is the |_| total project |_| subcontract price.
6.
Type of work:
|_| Facilities Support|X|Maintenance/Overhaul/ Repair/ Alteration services
7.
Customer/Owner Name:
Point of Contact Name/Title: (person with project knowledge)
POC Phone Number:
POC Email Address:
8.
Were you the Prime contractor for this project?
|_| Yes|_| No
Were you a subcontractor for this project?
|_| Yes|_| No
If subcontractor, who was the Prime contractor?
9.
Type of Contract (check all that apply):

|_| Firm Fixed-Price (FFP) |_| Indefinite Delivery / Indefinite Quantity (IDIQ)

|_| Other (explain):

If partnership, provide the following information:

Partner firm name:
Years working together:
Address:

10. Narrative Description of the Project:

11. Percentage of work you self-performed on this project: %. Explain work self-performed:

Form may be expanded. Please DO NOT change content of the form.

File details come from the government source that posted it. Updated .