_ATTACH_1_Sources Sought_Contractor Info Form.docx
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- Solicitation number
- N40084-24-R-2006
About this file
This document contains a Sources Sought Contractor Information Form and details of a related federal contract opportunity for fire protection system preventive maintenance and inspection services. The Sources Sought Contractor Information Form requests contact and project experience information from contractors interested in the opportunity and includes fields for firm name, address, point of contact information, contract numbers for up to five relevant past projects including award and completion dates, values, customers, descriptions of percentage of work self-performed, and contract types. The related federal contract opportunity is solicitation number N40084-24-R-2006 for fire protection system preventive maintenance and inspection services at Marine Corps Base Camp Butler, U.S. Naval Hospital and its branch clinics and facilities in Okinawa, Japan, issued by the Department of the Navy Naval Facilities Engineering Command as a pre-solicitation notice.
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SMEDLEY D. BUTLER, OKINAWA, JAPAN
Attachment 1 SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for Fire Protection System Preventive Maintenance and Inspection Services at Marine Corps Base Camp Butler, U.S. Naval Hospital (USNH) & Branch Clinics/Facilities, Okinawa, 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:
UEI #/CAGE CODE
Name of POC for firm:
Phone Number of POC: Email of POC:
2. This space may be used to provide any additional information that is relevant:
(Rev. 03/13)
SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for Fire Protection System Preventive Maintenance and Inspection Services at Marine Corps Base Camp Butler, U.S. Naval Hospital (USNH) & Branch Clinics/Facilities, Okinawa, Japan
Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to 5 projects. Please limit response to two pages per project.
1. Contractor Name:
2. Project No. (check one): - 1 - 2 - 3 - 4 - 5
3. Contract Number: Delivery/Task Order No.:
| Project Number: | |
| Title: | Location: |
| 4. Award Date (mm/dd/yy): | Completion Date (mm/dd/yy): | Project is % complete (on submission due date) | |
| 5. | Final Contract Price: | $ (incl. all options and mods) | |
| This is the | total project | subcontract price. |
5. Type of Work: Facilities Support Laboratory instrument Repair&Maint Services
7. Customer/Owner Name: Point of Contact Name/Title:
(person with project knowledge) POC Phone Number: POC Email Address:
8. Were you the Prime contractor for this project? Yes No Were you a subcontractor for this project? Yes No If subcontractor, who was the Prime contractor?
| 9. Type of Contract (check all that apply): | |
| Firm Fixed-Price (FFP) | Indefinite Delivery / Indefinite Quantity (IDIQ) |
Other (explain):
If partnership, provide the following information:
Partner firm name: Years working together:
Address:
10. Narrative Description of the Project:
11. Percentage of work you self-performed on this project: %. Explain work self-performed:
Form may be expanded. Please DO NOT change content of the form.
File details come from the government source that posted it. Updated .