Fuels MACC- Sources Sought Information Forms.docx

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SOURCES SOUGHT FOR IDIQ MACC FOR NATURAL GAS AND POL FUEL SYSTEM PROJECTS AT VARIOUS GOVERNMENT INSTALLATIONS WITHIN THE NAVFAC SW AREA OF RESPONSIBILITY INCLUDING BUT NOT LIMITED TO CA, AZ, NV, UT, CO, AND NM
Solicitation number
N6247322RFUEL
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This document contains a sources sought announcement and related forms for a multiple award construction contract. The Naval Facilities Engineering Command Southwest is seeking small businesses with experience constructing natural gas and petroleum, oils, and lubricants fuel systems to respond to the sources sought announcement by November 30, 2021. The multiple award contract will have a base period of two years and two three-year option periods, for a total performance period of eight years. Task orders between $50,000 and $10,000,000 will be issued for projects including construction, renovation and repair of fuel storage and distribution systems, pipelines and support facilities at installations in California, Arizona, Nevada, Utah, Colorado and New Mexico. The estimated total contract value is $150,000,000. Respondents are to provide forms detailing their business information, bonding capacity, locations, relevant project experience including three to five projects valued over $500,000 demonstrating pipeline construction experience, and safety records for the past three years.

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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

for

NAVFAC SOUTHWEST FUELS (POLS)

CONSTRUCTION MACC

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:
DUNS:
CAGE Code:
Firm Name:
Address:
Name of POC for firm:
Phone Number of POC:
Email of POC:

2. Type of Business: (check all that apply)

|_| SBA certified 8(a) firm
|_| SBA certified HUBZone Small Business
|_| Service-Disabled Veteran-Owned Small Business
|_| Small Business

|_| Women-Owned Small Business

3. Bonding Capacity:

Surety Name:
Maximum bonding capacity per project:
$
Aggregate maximum bonding capacity:
$

4. Locations. Identify the locations you are willing and capable to work: (check all that apply)

|_| California
|_| Arizona
|_| Utah
|_| New Mexico
|_| Colorado
|_| Nevada

If you are not willing and capable to work in all 6 locations noted above, explain why not:

5. This space may be used to provide any additional information to clarify the above items only:

Form may be expanded. Please DO NOT change content of the form.

(Rev. 11/15)

SOURCES SOUGHT – CONSTRUCTION EXPERIENCE PROJECT DATA FORM

for

NAVFAC SOUTHWEST FUELS (POLS)

CONSTRUCTION MACC

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:
2.
Project No. (check one):
|_| - 1|_| - 2|_| - 3|_| - 4|_| - 5
3.
Contract Number:
Delivery/Task Order No.:
Project Number:
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.
Type of work:
|_| New Construction|_| Repair|_| Renovation
7.
Customer/Owner Name:
Point of Contact Name/Title: (person with project knowledge)
POC Phone Number:
POC Email Address:
8.
Were you the Prime contractor for this project?
|_| Yes|_| No
Were you a subcontractor for this project?
|_| Yes|_| No
If subcontractor, who was the Prime contractor?
9.
Type of Contract (check all that apply):

|_| Design-Build |_| Design-Bid-Build

|_| Other (explain):
If Design-Build, provide the following information:
|_| Design accomplished in-house
Lead design firm name:
Years working together:
Address:

10. Provide a detailed description of the project:

11. Percentage of work you self-performed on this project: %.

Provide a detailed description of the work your firm self-performed on this project:

SOURCES SOUGHT – SAFETY DATA FORM

for

NAVFAC SOUTHWEST FUELS (POLS)

CONSTRUCTION MACC

1. Contractor Name:

Three Previous Complete Calendar Years of Reported Safety Data:

Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.

2. Experience Modification Rate (EMR):
2018
2019
2020

2a. For EMRs greater than 1.0, explain any extenuating circumstances and corrective actions taken:

2b. If you do not have an EMR for a given year, state so here and explain why:

3. U.S. Dept. of Labor, OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate:
2018
2019
2020

Instructions for calculating the DART rate can be found at http://www.bls.gov/iif/osheval.htm.

3a. For DART rates of 3.0 or greater, explain any extenuating circumstances and corrective actions taken:

3b. If you do not have a DART rate for a given year, state so here and explain why:

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