CapabilityStatementQuestionnaire.docx

Solicitation Number: F16PS00003 Project Title: Operation & Maintenance Services at the NCTC Capability Statement Questionnaire

SECTION 1 - GENERAL

1. Business Name: (Insert Business Name)

2. Business Address: (Insert Business Address)

3. DUNS: (Insert DUNS)

4. NAICS Codes: (Insert all applicable NAICS Codes)

5. Responsible Point of Contact:

Check All That Apply: Our firm is:

|_| Small business |_| 8(a) small business |_| Veteran-owned small business |_| Service-disabled veteran-owned small business |_| HUBZone small business |_| Small disadvantaged business |_| Women-owned small business concern.

|_| Economically Disadvantage Woman-owned Small Business |_| Other than Small Business

SECTION 2 – CONTRACTOR ARRANGEMENTS

1. Identify how your firm is interested in competing for this requirement.

Our firm will be proposing on this project as a:

|_| Sole/Prime contractor |_| Prime contractor performing at least 50% of the work with subcontractor(s) |_| Prime contractor performing at least 50% of the work with the following team member subcontractor(s) (Insert business name, business size, cage code, and work which will be subcontracted).

|_| Joint venture with (Insert business name, business size, and cage code).

2. Identify subcontracting, joint ventures or teaming arrangement that will be pursued, if any. Please provide any additional information you feel would benefit the Government in understanding your contractor arrangements.

SECTION 3 – CAPABILITY

1. Describe the capabilities of you or your organization and the nature of the services you provide. Include a description of your background and/or your staff composition. The focus of this capability is to determine if your organization possesses the necessary functional area expertise to compete for this acquisition. It is imperative that business concerns responding to this sources sought announcement articulate their capabilities clearly and adequately.

2. Describe your company's past experience on previous projects similar in complexity to this requirement. Provide information in sufficient detail regarding previous experience (indicate whether as a prime contractor or subcontractor) on similar requirements (include size, scope, complexity, timeframe, government or commercial), pertinent certifications, etc., that will facilitate making a capability determination. Additionally, please include complete references, contract titles, dollar values, and points of contact.

3. Are there any other capabilities you can provide that would be of use in meeting the requirement?