About this file

This is a Contractor Information Form template used as part of a Sources Sought Notice for a Design-Bid-Build (DBB) Phase III Groundwater Treatment Plant construction project at NWIRP Bethpage, Wantagh, New York. The form is issued by the Naval Facilities Engineering Systems Command, Mid-Atlantic (Department of the Navy) and is designed to collect general contractor information for market research purposes to determine the availability of eligible small business firms capable of performing the construction services.

The form requests standard contractor identification data including UEI, CAGE Code, firm name, address, and point of contact information. It requires contractors to identify their business type, with checkboxes for Large Business, SBA certified 8(a) firms, HUBZone Small Business, Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business, Woman-Owned Small Business, and Economically Disadvantaged Women-Owned Small Business designations. Additionally, the form requests bonding capacity information, including the surety name and both the maximum bonding capacity per project and aggregate maximum bonding capacity. The Government has emphasized that this is a sources sought notice only and does not constitute a request for proposal, quote, or invitation for bid, and no specifications or drawings are available at this time. Responses are limited to one page, with optional space provided for clarifying remarks. Large business submittals will not be considered, and the Government reserves the right to determine whether a small business set-aside is in its best interest based on industry responses received.

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26R0045 NWIRP Bethpage SSN.pdf PDF
Project Data Form.docx DOCX document

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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

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:
UEI:
CAGE Code:
Firm Name:
Address:
Name of POC for firm:
Phone Number of POC:
Email of POC:

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

|_| Large Business

|_| SBA certified 8(a) firm |_| SBA certified HUBZone Small Business

|_| 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:

Surety Name:
Maximum bonding capacity per project:
$
Aggregate maximum bonding capacity:
$

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

Please DO NOT change content of the form

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