MMDD MACC_Sources Sought Response Form_Final.docx

RESPONSE FORM

SOURCES SOUGHT – N4425526R0005

SHIPYARD INFRASTRUCTURE OPTIMIZATION PROGRAM

MULTI-MISSION DRY DOCK, MULTIPLE AWARD CONSTRUCTION CONTRACT

NAVAL FACILITIES ENGINEERING SYSTEMS COMMAND (NAVFAC)

Firm Name:

Address:

Point of Contact Name:

Phone: ____________ Email: ____________________________

Company’s CAGE or UEI: ___________________________ (if your company has one)

What is your company’s per project bonding capability? $__________________

What is your company’s total bonding capability? $__________________

Type of Business: (Check all which apply for NAICS 236220 and/or NAICS 237990)

SBA Certified 8(a) Firm

SBA Certified HUBZone

Service-Disabled Veteran-Owned Small Business

Veteran Owned Small Business

Small Disadvantaged Business

Woman Owned Small Business (Certified)

Economically Disadvantaged Woman Owned Small Business (Certified)

Small Business

Other Type of Business (Specify) _________________

Response Submission Instructions: Please respond no later than the due date and time stipulated by the sources sought announcement by submitting an e-mail with an attached electronic copy of your response to:

Contracting POC: Jodus Hortin, jodus.d.hortin.civ@us.navy.mil

Secondary POC: Nancy Coffee, nancy.m.coffee.civ@us.navy.mil

Please name the subject line of your e-mail as “(Insert Company Name) – MMDD MACC Sources Sought Response – N4425526R0005”. Emails can be no larger than 5 MB in size. If more than 5 megabytes are needed, more than one email may be sent.

NOTE: All prospective Offerors, including Joint Ventures, shall be registered in the System for Award Management (SAM) at https://www.sam.gov in order to be eligible for contract award. Any prospective Offeror not already registered in SAM is highly encouraged to initiate the registration process at the earliest opportunity to ensure sufficient time for processing and approval.

Experience – Project 1

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

NAICS:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications) or total subcontract value if not the Prime Contractor:

Describe the project’s key elements that demonstrate your firm’s experience with the type of work in the sources sought, please include the applicable NAICS code(s):

Experience – Project 2

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

NAICS:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications) or total subcontract value if not the Prime Contractor:

Describe the project’s key elements that demonstrate your firm’s experience with the type of work in the sources sought, please include the applicable NAICS code(s):

Experience – Project 3

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

NAICS:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications) or total subcontract value if not the Prime Contractor:

Describe the project’s key elements that demonstrate your firm’s experience with the type of work in the sources sought, please include the applicable NAICS code(s):

Experience – Project 4

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

NAICS:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications) or total subcontract value if not the Prime Contractor:

Describe the project’s key elements that demonstrate your firm’s experience with the type of work in the sources sought, please include the applicable NAICS code(s):

Experience – Project 5

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

NAICS:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications) or total subcontract value if not the Prime Contractor:

Describe the project’s key elements that demonstrate your firm’s experience with the type of work in the sources sought, please include the applicable NAICS code(s):