Miscellaneous Furniture and Furnishings Capability Statement.pdf

Miscellaneous Furniture and Furnishings for US Military Health Facilities Capability Statement

January 2026

SECTION 1. GENERAL

1. Business Name: (Insert Business Name)

2. Business Address: (Insert Business Address)

3. Cage Code: (Insert Cage Code)

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

5. Responsible Point of Contact:

Name: (Insert Name) Telephone: (Insert Telephone Number) Email: (Insert Email Address)

6. Check All That Apply: Our firm is a:

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 large business.

GSA Federal Supply Schedule Contractor (Insert applicable GSA contract numbers)

SECTION 2. CONTRACTOR ARRANGEMENT

Sole contractor

Prime contractor performing at least 50% of the work (excluding the manufacturers of specific products included in a delivery order) with the following team member subcontractor(s) (Insert business name, business size, cage code, and work which will be subcontracted)

Prime contractor performing at least (insert percentage) of the work (excluding the manufacturers of specific products included in a delivery order) with subcontractor(s) (Insert business name, business size, cage code, and work which will be subcontracted)

A joint venture with (Insert business name, business size, and cage code).

(See FAR subpart 9.6 for Government policy on teaming arrangements, as well as 8(a) Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403 (c) and 13 CFR 125.15(b). )

SECTION 3. CAPABILITY

1. If awarded a contract, the maximum capacity our firm can adequately perform for any single task/delivery order is (Insert maximum capacity per task/delivery order). (i.e. If your firm cannot perform work per task/project over $1.5 million, your response for maximum capacity per task would be $1.5 million.)

2. If awarded a contract, the maximum aggregate contract capacity our firm can adequately perform is (Insert total contract capacity your firm can perform). (i.e. If your firm can perform no more than five (5) $1.5 million task/delivery orders simultaneously, your response for maximum aggregate capacity would be $7.5 million.)

3. Our firm is capable of performing/delivering 1 order, 2-5 orders, 6-10 orders, 11-15 orders, 16-20 orders, 21-30 orders, or 30+ orders simultaneously.

4. Our firm is capable and interested in performing work in the following locations:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming other U.S. territories and possessions (provide list)

Belgium Germany Italy Japan South Korea Afghanistan Iraq U.K.

Kuwait Qatar UAE Yemen Saudi Arabia Egypt Kazakhstan Kwajalein Bosnia-Herzegovina Albania Poland Serbia Hungary Macedonia Thailand Turkey

Other countries not listed above (provide list)

5. Our firm does / does not have the necessary documents/permits/certifications required to perform work at the locations we identified as capable and interested in performing work above.

6. Our firm is capable of furnishing the furniture listed in the table below, which is consistent with or similar to MIL-STD-1691. The MIL-STD-1691 can be found at http://www.wbdg.org/ccb/browse_cat.php?c=69.

Check all that apply System/Component

Healthcare wood and/or metal frame waiting room seating with coordinating occasional tables Wood frame office side / guest seating Patient room / treatment seating, including rockers, gliders, hip chairs and recliners Physician’s stools Children’s furniture (tables and chairs) Conference room furniture (tables, ergonomic seating, credenza, lectern, etc.)

Wood desks and casegoods Tables Metal lockers and locker room benches Tackboards, whiteboards, and combination boards Enclosed display units (boards and cases) HIPAA medical chart holders Literature holders and magazine racks Recycle stations Waste baskets and trash cans Clocks Lamps Infection Prevention Centers Mobile computer workstations Wall-mounted computer workstations and monitor arms Wall-mounted examination room cabinet systems Metal filing and storage cabinets Medical records shelving Other (insert list)

7. Our products are / are not GREENGUARD (or an equivalent or better environmental standard) certified. (List applicable standards for which your products are certified.) (List typical products that are certified.)

http://www.wbdg.org/ccb/browse_cat.php?c=69

8. Our firm is capable of providing the following associated services:

Check all that apply Service

Healthcare/Clinical Design (includes assessing facility/project conditions, determining product installation requirements, determining user needs, and designing required areas with the furniture components) Delivery/Shipping Installation (installing the procured product) Warranty Extended Project Management (i.e. above day-to-day project oversight and coordination) Training Warehousing Services Inventory Services

9. Our firm does / does not have the capability, qualifications, and experience to perform the work required at Government medical facilities in accordance with all applicable medical technical publications, codes, and specifications.

10. Our firm has successfully supplied furniture and furnishings and performed associated services for the following medical facilities: (Insert name of medical facility, type of work performed, dollar value of work performed, and date work was performed).

SECTION 4. RETURN INSTRUCTIONS

After you have completed all sections of the capability statement, please return the form to the Contract Specialist via email at Brandalyn.L.Fox@usace.army.mil. Your response shall be received no later than 12:00 p.m. Central Time on 22 January 2026 Information presented is for market research purposes only.