Contractor Info Form.docx

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CUSTODIAL SERVICES FOR THE U. S. COMMANDER FLEET ACTIVITIES YOKOSUKA, JAPAN
Solicitation number
N4008423B0408
Issued by

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This document contains a contractor information form and a pre-solicitation notice for custodial services. The contractor information form requests general company details and relevant project experience for preventive maintenance of exhaust air and wastewater treatment systems at firefighting facilities in Commander Fleet Activities Yokosuka, Japan. Contractors are asked to provide details on up to five past projects, including customer and contract information, work description, value, and self-performance percentage. The pre-solicitation notice seeks custodial services for approximately 270 buildings across multiple Navy installations in Japan, including daily and periodic floor care cleaning as well as window cleaning. The required services are to support the Department of the Navy Naval Facilities Engineering Command.

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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for PREVENTIVE MAINTENANCE PROGRAM AND SERVICE ORDERS FOR EXHAUST AIR TREATMENT SYSTEM AND WASTE WATER TREATMENT SYSTEM OF FIRE FIGHTING FACILITIES IN THE U.S. COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY), JAPAN

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 PREVENTIVE MAINTENANCE PROGRAM AND SERVICE ORDERS FOR EXHAUST AIR TREATMENT SYSTEM AND WASTE WATER TREATMENT SYSTEM OF FIRE FIGHTING FACILITIES IN THE U.S. COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY), JAPAN

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to 5 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 .