Attachment_1_-Contractor_Information_Template.doc
DOC document 99 KB Posted
- Attached to
- SCALLOP DREDGE VESSEL TRAINING PLATFORM Federal contract opportunity
- Solicitation number
- EE133F-15-RQ-1104
About this file
ATTACHMENT 1 - Contractor Information Template
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment_2_-_SAM_registration_info.pdf | ||
| Solicitation_EE133F-15-RQ-1104.pdf | ||
| Attachment_3_-_RepUnpaid_Delinquent_Tax_Liability.docx | DOCX document |
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Text version
Vessel Contractor Information Template, Attachment 1, RFQ EE133F-15-RQ-1104
VESSEL DETAILS
Vessel Name:
Home Port/State:
| Vessel: |
| Permit #: |
Hull ID:
USCG Insp. Sticker:
Mo: Yr:
Life raft capacity:
| EPIRB: |
| Y N |
Location:
| Construction: |
| Year: |
Shipyard:
| Measurements: |
| Length: |
Beam:
Draft:
| Tonnage: |
| Gross: |
Net:
| Engine: |
| mk/model: |
Year:
HP:
Number of Net Reels
| Accommodations: |
| Head: |
| Y N |
# of Bunks:
Vessel Email:
Satellite Phone:
Owner/Company:
Company Contact:
email:
Address:
Office Phone:
Cell Phone:
Fax Number:
CAPTAIN DETAILS
Primary Captain:
Operator #:
Yrs. as Captain:
Cooperative Research Experience:
Secondary Captain: (if applicable)
Operator #:
Yrs. as Captain:
Cooperative Research Experience:
Vessel Contractor Information Template VESSEL, CAPTAIN AND CREW FISHING EXPERINCE – attach additional sheet if needed
(include length of time in each fishery)
Type of Gears Used:
Areas Fished:
Max. Crew Size:
(including captain)
| Max. Trip Length: |
| # Days: |
| Trip limitation: |
| fuel H2O provisions stability crew |
Avg. Daily Fuel Consumption (gal):
| Catch Storage: |
| # Freezers: |
| Ref. Seawater: |
| Y N |
| Ice: |
| Y N |
| Conveyor: |
| Y N |
VESSEL INSURANCE
Insurance Carrier:
Address:
State:
Zip:
Contact:
Phone:
List below, similar jobs, which you have successfully performed in the past, for the U.S. Government and other Companies. Show the dollar amount opposite each contract listed.
PAST PERFORMANCE INFORMATION
References/Description of vessel’s history
| Point of Contact |
| Year |
| Contract Amount |
| Government Agency |
| Contract Number |
| Dollar Amount |
| Include Photocopies of: |
| - Stability Information |
- Medical Certifications- First Aid/CPR/AED
- If possible, photos of deck, berthing, and wheelhouse electronics
- Licenses held by Captain and Crew
- Current Insurance Policy
File details come from the government source that posted it. Updated .