N4008026SENER_Contractor Information Form.docx
DOCX document 37 KB Posted
- Attached to
- SOURCES SOUGHT SPECIAL NOTICE FOR DB/DBB MULTIPLE AWARD CONSTRUCTION CONTRACT (MACC) ENERGETICS PROJECTS
- Solicitation number
- N4008026SENER
About this file
This is a Contractor Information Form attachment to a Sources Sought Notice (SSN) for a Naval Facilities Engineering Systems Command (NAVFAC) procurement regarding multiple award construction contracts for energetics projects.
The form is a template designed to collect essential contractor qualification information from potential respondents. Contractors must provide UEI and CAGE codes, firm name, address, and point of contact details including phone and email. The form requests confirmation of business type designations, including SBA certifications (8(a), HUBZone, Service-Disabled Veteran-Owned, Veteran-Owned, Woman-Owned, and Economically Disadvantaged Women-Owned Small Business status). Respondents must also disclose bonding capacity information, including surety name and maximum bonding capacity per project and in aggregate. Critical performance requirements include confirming that the contractor's DART Rate does not exceed 1.99 over the last five years and TCR Rate does not exceed 3.49 over the same period. The form limits responses to one page and includes a section for clarifying additional information. This is a pre-solicitation market research tool only; responses are not offers and will not result in contract awards. No reimbursement will be provided for response costs, all submissions become government property, and telephone inquiries will not be accepted.
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| File | Type | Posted |
|---|---|---|
| N4008026SENER_Project Information Form.docx | DOCX document |
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Text version
SOURCES SOUGHT ATTACHMENT – CONTRACTOR INFORMATION FORM
N4008026SENER
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:
UEI: Click or tap here to enter text.
CAGE Code: Click or tap here to enter text.
| Firm Name: |
| Click or tap here to enter text. |
| Address: |
| Click or tap here to enter text. |
Name of POC for firm: Click or tap here to enter text.
Phone Number of POC: Click or tap here to enter text.
Email of POC: Click or tap here to enter text.
2. Type of Business: (check all that apply)
☐ SBA certified 8(a) firm ☐ SBA certified HUBZone Small Business
☐ Service-Disabled Veteran-Owned Small Business ☐ Veteran Owned Small Business ☐ Woman Owned Small Business
☐ Economically Disadvantaged Women-Owned SB ☐ Small Business
3. Bonding Capacity:
| Surety Name: |
| Click or tap here to enter text. |
| Maximum bonding capacity per project: |
| $ Click or tap here to enter text. |
$ Click or tap here to enter text.
Aggregate maximum bonding capacity:
4. Please confirm that your DART Rate over the last five years does not exceed 1.99 Yes ☐ No ☐ Please confirm that your TCR Rate over the last five years does not exceed 3.49 Yes ☐ No ☐
5. This space may be used to provide any additional information to clarify the above items only:
Click or tap here to enter text.
Please DO NOT change content of the form
File details come from the government source that posted it. Updated .