Encl1_Contractor-Information-Form.docx
DOCX document 30 KB Posted
- Solicitation number
- N4008424Q0800
About this file
This document contains a sources sought notice and contractor information form for a firm fixed price contract to replace fuel flow meters and clean inside the fuel tanks of two government vehicles at Naval Facilities Engineering Command Far East in Yokosuka, Japan. The contractor shall provide all labor, management, supervision, tools, materials, equipment, and transportation necessary to perform fuel tank cleaning and component replacement. Interested sources are invited to respond to the sources sought notice by January 26, 2024 by completing and submitting the enclosed contractor information form to demonstrate capabilities, capacity, and experience in this type of work. The form requests general contractor information as well as up to five relevant past project examples. Responses will be used for acquisition planning purposes only and respondents will not be notified of evaluation results.
The work requires a contractor licensed to operate in Japan in compliance with all local laws and regulations. The contract will be conducted and performed entirely within Japan. United States official contractor or civil component status under the US-Japan Status of Forces Agreement will not be provided or certified. The NAICS code for this procurement is 213112. The solicitation number is N4008424Q0800 and will be issued by Naval Facilities Engineering Command Far East.
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| File | Type | Posted |
|---|---|---|
| Source_Sought_20240105.pdf |
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Text version
CONTRACTOR INFORMATION FORM
Firm Fixed Price (FFP), Replace Fuel Flow Meters and Clean Inside the Fuel Tank of Government Vehicles (GOV) #N96-53280 & #N96-53458 at Azuma Storage Area (Hakozaki) at/near Bldg. 8600378 Area at CFAY Yokosuka, Japan (Non-Recurring)
Use this form to provide contractor’s general information. Please limit response to one page. The box at the bottom of this form may be used to clarify any requested information.
1. Contractor Information:
Firm Name:
Address:
Name of POC for firm:
| Phone Number of POC: | Email of POC: |
| SAM UEID: | CAGE: |
2. This space shall be used to provide any professional qualifications information that is relevant (i.e business licensure verification):
3. This space may be used to provide any additional information that is relevant:
CONTRACTOR INFORMATION FORM
Firm Fixed Price (FFP), Replace Fuel Flow Meters and Clean Inside the Fuel Tank of Government Vehicles (GOV) #N96-53280 & #N96-53458 at Azuma Storage Area (Hakozaki) at/near Bldg. 8600378 Area at CFAY Yokosuka, Japan (Non-Recurring)
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 .