Attachment A- Corporate Experience Questionnaire.pdf
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- Solicitation number
- N4008020R0010
About this file
This notice solicits proposals for a multiple award indefinite delivery/indefinite quantity contract to provide multi-media compliance services with an emphasis on fuel storage tanks, spills, air, and waste/materials at various Navy locations in Virginia, Maryland, and Washington D.C., as well as other U.S. territories. The contract will have a minimum value of $50,000 and a maximum of $30 million over five years with an optional six-month extension. Task orders will range from $50,000 to $250,000 but may fall outside this range if in the government's best interest. Services include compliance projects involving stormwater, drinking water, wastewater, air quality, hazardous waste and materials, storage tanks, environmental management systems, environmental liabilities, planning, natural resources, cultural resources, and installation restoration in accordance with applicable DOD, DON, federal, state and local statutes and regulations as well as DOD and DON policies and instructions. This will be a lowest price technically acceptable procurement utilizing technical and price proposals for an IDIQ contract awarded through fixed price task orders.
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ATTACHMENT A
NAVFAC/USACE CORPORATE EXPERIENCE QUESTIONNAIRE
CONTRACT INFORMATION (Contractor to complete Blocks 1-4)
1. Contractor Information Firm Name: CAGE Code:
Address: Entity Identifier Number:
Phone Number: Project Number (1-20):
Email Address:
Point of Contact: Contact Phone Number:
2. Work Performed as: Prime Contractor Sub Contractor Joint Venture Other (Explain) Percent of project work performed:
If subcontractor, who was the prime (Name/Phone #):
3. Contract Information Contract Number:
Delivery/Task Order Number (if applicable):
Contract Type: Firm Fixed Price Cost Reimbursement Other (Please specify):
Contract Title:
Contract Location:
Award Date (mm/dd/yy):
Contract Completion Date (mm/dd/yy):
Actual Completion Date (mm/dd/yy):
Explain Differences:
Original Contract Price (Award Amount):
Final Contract Price (to include all modifications, if applicable):
Explain Differences:
Note: Award amount includes value at award and amount added /deducted by modification and final price/cost. For projects that are substantially complete, provide total cost of work performed to date, versus final project amount. If the project was performed as a subcontractor, this amount should reflect the value of the subcontract and not the total value of the project as a whole.
4. Project Description:
Complexity of Work High Med Routine How is this project relevant to project of submission? (Please provide details such as similar equipment, requirements, conditions, etc.)
Provide a detailed description of what work your firm self-performed on this project.
Provide a detailed description of what work your firm self-performed on this project
Additional notes on the scope, magnitude/size, and/or complexity of the task order (optional)
Note: If project was performed as a subcontractor, the project description shall reflect the subcontract work and not the work under the project as a whole.
CLIENT INFORMATION (Client to complete Blocks 5-8)
5. Client Information Name:
Title:
Phone Number:
Email Address:
6. Describe the client’s role in the project:
7. Date Questionnaire was completed (mm/dd/yy):
8. Client’s Signature:
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