Enclosure (4) Contractor Information Form.docx
DOCX document 31 KB Posted
- Solicitation number
- N4008424R1TBD
About this file
This document contains a sources sought notice and contractor information form for repair and construction work on a secure access building at Marine Corps Air Station Iwakuni in Japan. The Naval Facilities Engineering Command Far East seeks potential sources to upgrade the HVAC system in the Operational Trainer Complex building through a design-bid-build construction project valued between $10-25 million USD. Interested contractors should submit responses using the provided contractor information form by March 28, 2024 demonstrating experience with similar projects involving HVAC system upgrades, electrical and architectural modifications on military bases in Japan. All work must comply with the construction security plan requirements, including use of U.S. companies, citizens and persons for secure area finishes and HVAC design/construction. Only U.S. persons may participate in modifications to the building's HVAC system.
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Text version
CONTRACTOR INFORMATION FORM
N4008424R1TBD
SOURCES SOUGHT FOR REPAIR AND CONSTRUCTION OF
A SECURE ACCESS BUILDING AT
MARINE CORPS AIR STATION (MCAS) IWAKUNI, JAPAN
Use this form to provide contractor’s general information. Please limit response to two pages. 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
N4008424R1TBD
SOURCES SOUGHT FOR REPAIR AND CONSTRUCTION OF
A SECURE ACCESS BUILDING AT
MARINE CORPS AIR STATION (MCAS) IWAKUNI, 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 .