Contractor Info Form.docx

DOCX document 27 KB Posted

Attached to
PM Program and Work Orders for the Pump Test Bench Systems at Bldg. YSK-A47 Federal contract opportunity
Solicitation number
N4008425B0412
Issued by
Department of the Navy Naval Facilities Engineering Command

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Written by GovTribe AI ·

This is a Contractor Information Form template used for responding to a Sources Sought notice for Receiving and Disposal or Recycling Services of Incinerated Ashes. The form consists of two main sections: a one-page general contractor information section requesting basic company details (firm name, address, POC information, DUNS number, and CAGE code), and a two-page project experience section where contractors can submit up to three relevant past performance examples.

The project experience section requires detailed information including contract numbers, award dates, final contract prices, completion dates, type of work (facilities support or maintenance/repair services), customer information, prime/subcontractor status, contract type (FFP, IDIQ, or other), partnership details if applicable, project narrative, and percentage of self-performed work. The form specifically notes that while it may be expanded, the content should not be modified.

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Sources Sought Notice -Pump Test Bench SRF.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 .