N40085_Sources_Sought_Info_Form.pdf

NAVFAC FEAD Cherry Point Sources Sought Form Title: Price Range:

Location: NAICS Code: Size Std:

Description:

Prime Contractor Information

Address: Phone:

City: State: Zip Code:

EMR: DUNS #:

Bonding Capacity: Single Project: Aggregate: CAGE Code:

Small Business Classification:

(check all that apply)

Small Disadvantaged Business

Service Disabled Veteran Owned

HUB Zone

Small Business

Section 8(a)

Woman Owned

Partnering: Joint Venture Sub/Prime Mentor/Protege' N/A

Partner: Point of Contact:

Address: Phone:

City: State: Zip Code: E-mail:

EMR: DUNS #:

Partner: Point of Contact:

Address: Phone:

City: State: Zip Code: E-mail:

EMR: DUNS #:

Specialty:

Partnering: Joint Venture Sub/Prime Mentor/Protege' N/A

Specialty:

What percentage of the work described above can be performed by the prime contractor?

Partnering Information

Contractor: Point of Contact:

E-mail:

cheryl.trossbach Typewritten Text cheryl.trossbach Typewritten Text

Similar Project Past Performance

Project Title: Start Date: End Date:

Location: Contract Value: Mod. Value:

Contractor: Role:

Description:

Project Involved:

(check all that apply)

L.E.E.D. Certified L.E.E.D. Silver L.E.E.D. Gold L.E.E.D. Platinum

Environmental L.I.D. (Low Impact Design) Anti-terrorism/Force Protection

Client Type:

(check all that apply)

Federal Gov't State Gov't Local Gov't Private

Sub Contractors Used:

Awards:

Customer Point of Contact: Phone: E-mail:

Project Title: Start Date: End Date:

Location: Contract Value: Mod. Value:

Contractor: Role:

Description:

Project Involved:

(check all that apply)

L.E.E.D. Certified L.E.E.D. Silver L.E.E.D. Gold L.E.E.D. Platinum

Environmental L.I.D. (Low Impact Design) Anti-terrorism/Force Protection

Client Type:

(check all that apply)

Federal Gov't State Gov't Local Gov't Private

Sub Contractors Used:

Awards:

Customer Point of Contact: Phone: E-mail:

Similar Project Past Performance

Project Title: Start Date: End Date:

Location: Contract Value: Mod. Value:

Contractor: Role:

Description:

Project Involved:

(check all that apply)

L.E.E.D. Certified L.E.E.D. Silver L.E.E.D. Gold L.E.E.D. Platinum

Environmental L.I.D. (Low Impact Design) Anti-terrorism/Force Protection

Client Type:

(check all that apply)

Federal Gov't State Gov't Local Gov't Private

Sub Contractors Used:

Awards:

Customer Point of Contact: Phone: E-mail:

Project Title: Start Date: End Date:

Location: Contract Value: Mod. Value:

Contractor: Role:

Description:

Project Involved:

(check all that apply)

L.E.E.D. Certified L.E.E.D. Silver L.E.E.D. Gold L.E.E.D. Platinum

Environmental L.I.D. (Low Impact Design) Anti-terrorism/Force Protection

Client Type:

(check all that apply)

Federal Gov't State Gov't Local Gov't Private

Sub Contractors Used:

Awards:

Customer Point of Contact: Phone: E-mail:

Prime Contractor Information