Contractor Information Form.docx
DOCX document 17 KB Posted
- Solicitation number
- N4008526B0009
About this file
This is a Contractor Information Form template designed for sources sought submissions in response to a pre-solicitation notice for an IDIQ Regional Construction Maintenance Contract. The form is a one-page document that collects essential contractor data including Unique Entity Identifier (UEI), CAGE code, firm name, address, and primary point of contact information with phone and email.
The form requires contractors to identify their business classification by checking applicable boxes, including SBA 8(a) certification, HUBZone small business status, service-disabled veteran ownership, general small business designation, and economically disadvantaged women-owned small business (EDWOSB) status. Additionally, the form requests surety bonding capacity information, specifically the surety name and both the maximum bonding capacity per project and aggregate maximum bonding capacity. The form includes a limited space for clarifying any of the requested information and explicitly instructs respondents not to modify the form's content. This template is intended for firms interested in the Naval Facilities Engineering Systems Command Mid-Atlantic's IDIQ contract (N4008526B0009) for asphalt paving, general site work, minor utility work, and minor concrete maintenance repairs at Naval Station Newport, Rhode Island and related installations including the Naval Undersea Warfare Center and NAVFAC PWD New London.
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Other files
| File | Type | Posted |
|---|---|---|
| Project Data Form.docx | DOCX document | |
| 26B0009 Reg Paving Newport SSN.pdf |
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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)
| |_| SBA certified 8(a) firm |
| |_| SBA certified HUBZone Small Business |
| |_| Service-Disabled Veteran-Owned Small Business |
| |_| Small Business |
|_| Economically Disadvantaged Women-Owned 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
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