Encl 5 Sources Sought Contractor Info Sheet.docx

SUSTAINMENT, RESTORATION, AND MODERNIZATION (SRM) FOR VARIOUS FACILITY INVESTMENT SERVICES LOCATED AT COMMANDER FLEET ACTIVITIES YOKOSUKA (CFAY), JAPAN Sources Sought – Contractor Information Sheet Company Information

Name of Company:

Mailing Address:

Name of POC:

Phone Number of POC:

Email of POC:

Questionnaire

1. Which of the following services can your company perform? Please check boxes. Please note this question will be used to determine market capability and may result in separation of requirements.

☐Fire Protection Systems & IDS (Encl 1) ☐Roll-up Doors, Sliding Doors, Sliding Gates, and Automatic Doors (Encl 2) ☐VTE (Encl 3) ☐HVAC Systems, Refrigeration Systems, Icemaker Systems (Encl 4)

2. How long has your company provided these types of services?

3. Would your company intend to form a Joint Venture (JV), Partnership, LLC, or subcontract portions of the work to satisfy the requirement?

☐JV ☐ Partnership ☐LLC ☐Subcontractor ☐Other

4. Are there technical factors besides Experience and Past Performance that you think would be beneficial to evaluate? If yes, please elaborate.

5. Please review the four (4) DRAFT PWS, and provide any feedback, questions, or comments for improvement.

6. Would you prefer to be paid in ☐ US Dollar (USD) or ☐ Japanese Yen (JPY)

Sources Sought – Experience Form Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to five (5) projects. Please limit response to two (2) pages per project.

1. Contractor Name:

3. Contract Number: _______________________________________________ Delivery/Task Order Number: _______________________________________ Title: ____________________________________________________________ Location: _________________________________________________________

4. Award Date (MM/DD/YYYY) ________________ Completion Date (MM/DD/YYY) ________________ Project is _______% complete (on submission due date)

5. Final Contract Price (including all options and mods) ___________________ This is the ☐ total project ☐ subcontract price.

6. Type of work: ☐Fire Protection System & IDS ☐ HVAC, Refrigeration, Icemaker Systems ☐Roll-up Doors, Sliding Doors, Sliding Gates, and Automatic Doors ☐ VTE

7. Customer/Owner Name:____________________________________________________________ Point of Contact Name/Title: __________________________________________________________ Phone Number: _______________________ Email: ________________________________________

8. Were you the Prime Contractor? ☐ Yes ☐ No Were you a subcontractor ☐Yes ☐ No If a subcontractor, who was the Prime? __________________________________________________

9. Type of Contract (check all that apply):

☐ Firm Fixed Price (FFP) ☐ Indefinite Delivery Indefinite Quantity (IDIQ) ☐ Other (explain): __________________________________________________________________

If partnership, provide the following information:

Partner firm name: ____________________________ Years working together: ______________ Address: _______________________________________________________________________

10. Narrative Description of Project

11. Percentage of work self-performed _______%. Explain work self-performed.