Contractor Information Form.docx

DOCX document 24 KB Posted

Attached to
P-1577, Combat Water Survival Training Facility, Marine Corps Base (MCB), Camp Lejeune, NC
Solicitation number
N4008527R0005
Issued by

About this file

This is a Contractor Information Form template for a Sources Sought notice related to the construction of a Combat Water Survival Training Facility at Marine Corps Base Camp Lejeune, North Carolina. The form is designed to collect general contractor information and qualifications from potential bidders interested in this pre-solicitation opportunity.

The form requests standard contractor identification details including Unique Entity Identifier (UEI), CAGE code, firm name, address, and primary point of contact information. It includes a section for contractors to indicate their business classification status, with checkboxes for various small business certifications such as SBA 8(a), HUBZone, Service-Disabled Veteran-Owned, Veteran-Owned, Woman-Owned, and Economically Disadvantaged Women-Owned designations. The form also requires contractors to provide bonding capacity information, specifically the surety name, maximum bonding capacity per project, and aggregate maximum bonding capacity. The solicitation is issued by the Department of the Navy Naval Facilities Engineering Command for a facility that will include dual indoor pools with specialized training capabilities, support facilities, administrative spaces, and amenities such as locker rooms and bleachers. This is a template form only and does not specify response dates, pricing information, or other contractual terms.

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Other files

File Type Posted
P1577 Sources Sought Notice.pdf PDF
P-1577 PLA Request for Information.docx DOCX document
Project Information Form.docx DOCX document
27R00005 Matrix.xlsx XLSX spreadsheet

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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

|_| 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 .