SS Attachment 1 - Prime Contractor Info.xlsx
XLSX spreadsheet 132 KB Posted
- Solicitation number
- LASFB_Sources_Sought_2ndFloor
About this file
This is a questionnaire template for prime contractors to provide company information as part of a sources sought notice. The form collects basic company details including name, CAGE code, UEI, address, and point of contact information. It requests firms to indicate their business size status under NAICS 541330 ($22.5M size standard), including options for Small Business, Other Than Small Business, and Foreign Owned classifications.
The questionnaire includes sections for identifying socioeconomic certifications (HUBZone, WOSB, SDVOSB, 8(a)), geographic coverage across U.S. states, and technical capabilities related to fuel systems and inspections, including API, STI, and NACE certifications. The form appears to be supporting a sources sought for the Air Force Installation Contracting Center regarding secure space renovation at Los Angeles SFB, specifically targeting small businesses with experience in ICD/ICS 705 standards compliant construction.
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Other files
| File | Type | Posted |
|---|---|---|
| Sources Sought LA SCIF B271_2d Flr_20250128 (002).pdf | ||
| SS Attachment 1 - Prime Contractor Info.xlsx | XLSX spreadsheet | |
| Sources Sought LA SCIF B271_2d Flr_20250128 (002).pdf |
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Text version
Questionnaire Sources Sought Attachment 1 Prime Contractor Questionnaire
| FIRM INFORMATION | |
| 1. | Please provide the following information: |
| Name of Firm: | |
| Firm’s CAGE Code: | |
| Firms UEI: | |
| Business Street Address: | |
| City | |
| State | |
| Zip Code | |
| Website URL Address: | |
| Point of Contact: | |
| POC Phone Number: | |
| Contact Email: |
| 2. | Please indicate if you are classified as a Small Business, Other Than Small Business, Foreign Owned, and/or Other Business (Select all that apply) for NAICS 541330 with a size standard of $22.5M. | ||
| Small Business | Other Than Small Business | Foreign Owned |
| 3. | Please indicate all formal Small Business Administration (SBA) socioeconomic certifications/designations assigned to your firm (select all that apply) for NAICS 541330. |
| Small Business with no further certifications/designations | |
| Historically Underutilized Business Zone (HUBZone) | |
| Women-Owned Small Business (WSOB) | |
| Service-Disabled Veteran-Owned Small business (SDVOSB) | |
| 8(a) Business Development Small Business Certification |
US States
| Alabama | Massachusetts | South Dakota |
| Alaska | Michigan | Tennessee |
| Arizona | Minnesota | Texas |
| Arkansas | Mississippi | Utah |
| California | Missouri | Vermont |
| Colorado | Montana | Virginia |
| Connecticut | Nebraska | Washington |
| Delaware | Nevada | West Virginia |
| Florida | New Hampshire | Wisconsin |
| Georgia | New Jersey | Wyoming |
| Hawaii | New Mexico | |
| Idaho | New York | |
| Illinois | North Carolina | |
| Indiana | North Dakota | |
| Iowa | Ohio | |
| Kansas | Oklahoma | |
| Kentucky | Oregon | |
| Louisiana | Pennsylvania | |
| Maine | Rhode Island | |
| Maryland | South Carolina |
| Performing certified American Petroleum Institute (API) 650/653 inspections |
| Performing certified Steel Tank Institute (STI) SP001 inspections |
| Performing certified API 510 inspections |
| Performing certified API 570 inspections |
| Performing certified NACE inspections |
| Designing hydrant refueling systems |
| Fueling system design standards |
| Fueling systems construction standards |
| Fueling systems criteria development for pipelines and fuel terminals |
| Preparing fuel systems conceptual plans |
| Preparing fuel system specifications |
| Preparing fuel system scheduling |
| Preparing fuels system cost estimates |
| Preparing fuel system operating manuals |
| Pipeline integrity testing |
SB Certifications
| FALSE | Small Business with no further certifications/designations |
| FALSE | Small Disadvantaged Business (SDB) |
| FALSE | Historically Underutilized Business Zone (HUBZone) |
| FALSE | Women-Owned Small Business (WSOB) |
| FALSE | Economically Disadvantaged Women-Owned Small Business (EDWOSB) |
| FALSE | Service-Disabled Veteran-Owned Small business (SDVOSB) |
| FALSE | Veteran-Owned Small Business (VOSB) |
| FALSE | 8(a) Business Development Small Business Certification |
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