Encl 2_Contractor Information Form 27R1027.docx
DOCX document 38 KB Posted
- Solicitation number
- N4008427R1027
About this file
This is a Contractor Information Form for a Sources Sought Notice (N4008427R1027) issued by Naval Facilities Engineering Systems Command (NAVFAC) Far East for a Design-Bid-Build (DBB) construction project at United States Naval Hospital (USNH) Yokosuka, located at Commander Fleet Activities Yokosuka (CFAY) in Japan. The form serves as a template for contractors to submit general company information, project experience, and concerns relevant to the planned renovation project.
The form requests contractors to provide firm identification details (name, Unique Entity ID, CAGE Code, address, and point of contact information), confirm experience with similar construction projects, and identify any constraints or concerns regarding equipment, materials, utilities, contract duration, delivery schedules, and transportation. The form also includes a project experience section allowing contractors to document up to five relevant projects, including contract details, award and completion dates, final contract pricing, customer information, prime or subcontractor status, contract type, work classification (new construction, renovation, alteration, repair, demolition, or design), and percentage of self-performed work. The underlying opportunity involves renovation of the Emergency Department, Inpatient Pharmacy, Radiology, Sterile Processing Department, Surgery Suites, and Laboratory, with a project magnitude between $100,000,000 and $250,000,000 or Japanese Yen equivalent. This is a pre-solicitation notice for information and planning purposes only and does not constitute a binding request for proposal or invitation for bid.
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Text version
SOURCES SOUGHT NOTICE N4008427R1027
UNITED STATES NAVAL HOSPITAL (USNH) YOKOSUKA ALTERATION
COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY), YOKOSUKA, JAPAN
Use this form to provide contractor’s general information and any concerns for this project.
1. Contractor Information:
| Firm Name: |
| Unique Entity ID Number: |
| CAGE Code: |
Address:
| Point of contact for firm: |
| Phone Number of POC: |
| Email of POC: |
2. Does your company regularly engage in the business of providing construction type projects similar to the scope of work in the sources sought? |_| YES |_| NO If yes, list specific types of tasks/services provided and how long your company has provided these types of services:
Number of years these types of services have been provided:
3. What are your primary concerns for this project? What constraints are important to clarify in the construction contract, with respect to equipment, materials, utilities, contract duration, delivery schedules, transportation, shipping, etc?
4. This space may be used to provide any additional information that is relevant.
SOURCES SOUGHT NOTICE N4008427R1027
UNITED STATES NAVAL HOSPITAL (USNH) YOKOSUKA ALTERATION
COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY), YOKOSUKA, 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: |
| $ or ¥ |
| 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 Contract (check all that apply):|_|Design-Build |_|Design-Bid-Build |_|Firm-Fixed Price |_|Cost/Time & Material |_| Other (explain):
If Design-Build, provide the following information: |_| Design accomplished in-house
Lead design firm name:
Address:
Years working together:
9. Type of work: |_| New Construction |_| Renovation |_| Alteration |_| Repair |_| Demolition |_| Design
10. Narrative Description of the Project:
11. Percentage of work you self-performed on this project: % and (dollar value).
Explain work self-performed:
(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 .