N4008425R0062_Encl (1)_Sources Sought Contractor Information Form.pdf
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- Solicitation number
- N4008425R0062
About this file
This is a Contractor Information Form template for solicitation N4008425R0062, which is part of a Sources Sought notice for an IDIQ contract for Architect-Engineer Services for Waterfront Engineering Projects in Japan. The form consists of two parts: a general information section and a project experience section.
The first section requests basic contractor details including firm name, address, point of contact information, SAM UEID, and CAGE code, along with spaces for professional qualifications and additional relevant information. The second section is a project-specific form where contractors can detail up to 5 relevant past projects, including contract numbers, award/completion dates, final contract price, customer information, prime/subcontractor status, and type of work performed (new construction, renovation, alteration, repair, demolition, or design). The form requires responses to be limited to one page for general information and two pages per project example. This form is designed to help NAVFAC Far East evaluate potential contractors' capabilities and experience for waterfront engineering services in Japan.
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Text version
(Rev. 03/13)
CONTRACTOR INFORMATION FORM
N4008425R0062
INDEFINITE DELIVERY/INDEFINITE QUANTITY CONTRACT FOR ARCHITECT-ENGINEER
SERVICES FOR WATERFRONT ENGINEERING PROJECTS IN 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:
SAM UEID: CAGE:
2. This space shall be used to provide any professional qualifications information that is relevant (i.e business licensure verification):
3. This space may be used to provide any additional information that is relevant:
**Form may be expanded. Please DO NOT change content of the form.** (Rev. 03/13)
CONTRACTOR INFORMATION FORM
N4008425R0062
INDEFINITE DELIVERY/INDEFINITE QUANTITY CONTRACT FOR ARCHITECT-ENGINEER
SERVICES FOR WATERFRONT ENGINEERING PROJECTS IN JAPAN
Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement (similar in size, scope, complexity). Submit up to 5 projects. Limit response to 2 pages per project.
. Contractor Name:
. Project No. (check one): - 1 - 2 - 3 - 4 - 5
3. Contract Number: Delivery/Task Order No.:
Title:
Location:
. Award Date (mm/dd/yy): 5. Final Contract Price: $
Completion Date (mm/dd/yy): (includes. all options and mods) Project is % complete (as of submission due date) This is the total project subcontract price.
6. Customer/Owner Name:
Point of Contact Name/Title:
(person with project knowledge)
POC Phone Number: POC Email Address:
Were you the Prime contractor for this project?
Were you a subcontractor for this project?
If subcontractor, who was the Prime contractor?
Yes No Yes No
8. Type of work: New Construction Renovation Alteration Repair Demolition Design
9. Narrative Description of the Project:
File details come from the government source that posted it. Updated .