Contractor Information Form.docx
DOCX document 24 KB Posted
- Solicitation number
- N4008526R0045
About this file
This is a Contractor Information Form template designed for use with a Sources Sought Notice. The form requests basic contractor identification information including UEI, CAGE Code, firm name, address, and point of contact details (name, phone, email). It requires contractors to identify their business type by selecting applicable categories such as Large Business, SBA certified 8(a) firm, HUBZone Small Business, Service-Disabled Veteran-Owned Small Business, Veteran Owned Small Business, Woman Owned Small Business, or Economically Disadvantaged Women-Owned Small Business. The form also requests bonding capacity information, specifically the surety name and both maximum bonding capacity per project and aggregate maximum bonding capacity figures.
This template is being used in conjunction with a Sources Sought Notice (Solicitation Number N4008526R0045) issued by the Naval Facilities Engineering Systems Command, Mid-Atlantic for Design-Bid-Build Phase III Groundwater Treatment Plant Construction at NWIRP Bethpage, Wantagh, New York. The Sources Sought Notice is market research to identify eligible firms capable of performing construction services for a groundwater treatment plant project designed to remediate contaminated groundwater containing chlorinated VOCs and 1,4-dioxane. The notice is not a formal solicitation and no drawings, specifications, or solicitation documents are currently available. The Government will communicate decisions regarding set-asides through future presolicitation synopsis or solicitation notices. All submitted information will be treated confidentially and used solely for market research purposes.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 26R0045 NWIRP Bethpage SNN 2 Final.pdf | ||
| Project Data Form.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
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 .