Contractor Information Form.pdf
PDF 145 KB Posted
- Attached to
- PAVING IDIQ, KADENA AIR BASE
- Solicitation number
- FA527024XXXX
About this file
This document contains a contractor information form and instructions for an indefinite delivery indefinite quantity contract for airfield pavement work at Kadena Air Base in Okinawa, Japan to be awarded by the Department of the Air Force Pacific Air Forces. The solicitation requests contact information and a description of the company's business size and proposed role on the contract. Experience on up to five relevant past projects within the last five years should also be provided, including contract details such as award date, completion date, final contract price, work description, and any additional pertinent information.
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| File | Type | Posted |
|---|---|---|
| Contractor Information Form.pdf | ||
| Draft General Information.pdf |
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Text version
CONTRACTOR INFORMATION FORM
F527024RXXXX
AIRFIELD PAVEMENT INDEFINITE DELIVERY INDEFINITE QUANTITY AT
KADENA AIR BASE, OKINAWA, JAPAN
1. CONTRACTOR INFORMATION
a. COMPANY NAME:
b. ADDRESS:
c. UNIQUE ENTITY ID (UEI#):____________________ CAGE CODE:_________________
d. POINT OF CONTACT:_________________________
i. PHONE NUMBER:____________________
ii. EMAIL ADDRESS:_____________________
2. COMPANY’ S BUSINESS SIZE AND INTEREST IN NATIRE OF PATICIPATION (E.G. PRIME
CONTRACTOR, TEAMING PARTNER, PRIMARY SUBCONTRACTOR); POTENTIAL TEAMING
ARRANGEMENTS AND DELINEATION BETWEEN THE WORK THAT WILL BE ACCOMPLOSHED BY
THE PRIME AND THE WORK WILL BE ACCOMPLISHED NU THE TEAMING PARTNER(S).
3. QUALIFICATIONS FOR CONDUCTING BUSINESS IN JAPAN.
CONTRACTOR INFORMATION FORM
F527024RXXXX
AIRFIELD PAVEMENT INDEFINITE DELIVERY INDEFINITE QUANTITY AT
KADENA AIR BASE, OKINAWA, JAPAN
Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Within the past 5 years. Limit to 5 projects.
1. CONRTACTOR NAME:
2. CONTRACT TITLE:__________________________
CONTRACT NUMBER:______________________
a. DELIVERY/TASK ORDER NO (IF NECESARRY): ________________________
b. ___ PRIME CONTRACTOR ___ SUBCONTRACTOR
c. TYPE OF CONTRACT:________________________
PROCURING AGENCY:_____________________ LOCATION:_______________
3. AWARD DATE:________________ COMPLETION DATE:_____________________
4. FINAL CONTRACT PRICE: USD / JPY_________________________
5. TYPE OF WORK (DESCRIPTION OF PROJECT):
6. PLEASE UTILIZE THIS SPACE FOR ADDITIONAL INFORMATION THAT IS RELEVANT TO THIS
SOURCES SOUGHT / PROJECT.
Thank you for your cooperation.
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