Encl1ContractorInfo.pdf

(Rev. 03/13)

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for

INDEFINITE DELIVERY INDEFINITE QUANTITY REPAIR SERVICES FOR

FIRE TRUCKS AND APPARATUS AT NAVY REGION, JAPAN

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:

Firm Name:

Address:

Name of POC for firm:

Phone Number of POC: Email of POC:

DUNS: CAGE:

2. Past Experience:

Has your company performed repair work on the following models, or capability providing repair and/or maintenance work?

Make Model Year

[ ] FREIGHTLINER 7400 SBA 2004

[ ] FREIGHTLINER CONTENDER 2004

[ ] FREIGHTLINER N1530428R 2004

[ ] MORITA 7321 1993

[ ] MORITA GD7JGW 2009

[ ] MORITA KC-FM629J 1999

[ ] MORITA MCD20MM05 1995

[ ] NAVISTAR 7400 SB2 2012

[ ] OSHKOSH T1500 2004

[ ] PIERCE 7400 SBA 2005

[ ] PIERCE 7400 SBA 2006

[ ] PIERCE 7400 SBA 2011

[ ] PIERCE 7400 SBR 2006

[ ] PIERCE 7400SBA 2011

[ ] PIERCE ARROW XT 2015

[ ] PIERCE DASH 2002

[ ] PIERCE QUANTUM 2011

[ ] PIERCE SABER 2011

[ ] PIERCE SABER 2012

[ ] PIERCE SABER 2013

[ ] PIERCE SABER 2017

[ ] PIERCE SABER 2018

[ ] PIERCE SABRE 2017