Contractor-Information-Form_N4008422R0092.docx

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PAVING INDEFINITE DELIVERY INDEFINITE QUANTITY AT VARIOUS U. S. GOVERNMENT INSTALLATIONS, OKINAWA, JAPAN
Solicitation number
N4008422R0092
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This notice is seeking information from contractors for an Indefinite Delivery/Indefinite Quantity contract to provide paving services at various U.S. government installations in Okinawa, Japan over an eight-year period. The Naval Facilities Engineering Command Far East will issue task orders for asphalt pavement construction and repair, including removal and replacement of pavement systems; drainage work; utility adjustments; airfield repairs; and site preparation. Task order values are expected to range from $5-20 million Japanese yen. Contractors must be licensed to operate in Japan and comply with all local laws and regulations. Interested contractors should complete the Statement of Interest Questionnaire to provide qualifications by the response deadline. The U.S. government will not offer contractor status under the Status of Forces Agreement.

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CONTRACTOR INFORMATION FORM

N4008420R0092

PAVING INDEFINITE DELIVERY INDEFINITE QUANTITY AT

VARIOUS U.S. GOVERNMENT INSTALLATIONS, OKINAWA, JAPAN

Use this form to provide contractor’s general information. Please limit response to one page.

1. Contractor Information:

Firm Name:
DUNS Number:
CAGE Code:

Address:

Point of contact for firm:
Phone Number of POC:
Email of POC:

2. Qualifications for Conducting Business in Japan:

3. This space may be used to provide any additional information that is relevant.

CONTRACTOR INFORMATION FORM

N4008420R0092

PAVING INDEFINITE DELIVERY INDEFINITE QUANTITY AT

VARIOUS U.S. GOVERNMENT INSTALLATIONS, OKINAWA, JAPAN

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement (similar in size, scope, complexity). Submit up to 5 projects. Limit response to 2 pages per project.

1.
Contractor Name:
2.
Project No. (check one):
|_| - 1|_| - 2|_| - 3|_| - 4 |_| - 5
3. Contract Number:
Delivery/Task Order No.:
Title:
Location:
4.
Award Date (mm/dd/yy):
5. Final Contract Price:
$
Completion Date (mm/dd/yy):
(includes. all options and mods)
Project is % complete (as of submission due date)
This is the |_| total project |_| subcontract price.
6. Customer/Owner Name:

Point of Contact Name/Title:

(person with project knowledge)

POC Phone Number:
POC Email Address:
7.
Were you the Prime contractor for this project?

Were you a subcontractor for this project?

If subcontractor, who was the Prime contractor?

|_| Yes|_| No
|_| Yes|_| No

8. Type of work: |_| New Construction |_| Renovation |_| Alteration |_| Repair |_| Demolition |_| Design

9. Narrative Description of the Project:

(Rev. 03/13) **Form may be expanded. Please DO NOT change content of the form.** (Rev. 03/13)

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