Contractor_Information_Form_23R0001.docx

SOURCES SOUGHT – CONTRACTOR CAPABILITY STATEMENT

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

2. Type of Business: (check all that apply)

|_| Service-Disabled Veteran-Owned Small Business

|_| Veteran Owned Small Business

|_| Woman Owned Small Business

|_| Economically Disadvantaged Women-Owned |_| Small Business Small Business

3. Bonding Capacity:

4. Describe your experience as a design-bid-build or design-build construction contractor performing in the Middle East.

5. Describe your construction experience as a design-bid-build or design build construction contractor in the country of Jordan:

6. Describe your experience in performing construction of similar scope and similar magnitude:

7. Please provide a statement of your firm’s bonding or surety consisting of the following information: Name of Surety, including contact information, Treasury Circular 570 status, type of security available (i.e. Payment, Performance Bonds, Letter of Credit, Bank Letter of Guarantee), Construction bonding level per contract, and aggregate construction bonding available.

8. If your firm cannot obtain bonding or surety from a Treasury Circular 570 surety, please indicate why.

9. This space may be used to provide any additional information to clarify the above items only:

Please DO NOT change content of the form