Contractor_Information_Form.docx
DOCX document 21 KB Posted
- Solicitation number
- N4008520R0002
About this file
This sources sought notice is requesting capability statements from small businesses for a multiple award construction contract covering the Philadelphia and Mechanicsburg, Pennsylvania regions. The Naval Facilities Engineering Command, Mid-Atlantic is seeking firms capable of performing new construction, renovation, alteration, and repair projects with a value between $500,000 to $5,000,000. Eligible firms include small businesses, HUBZone small businesses, small disadvantaged businesses, service-disabled veteran-owned small businesses, and women-owned small businesses. The contract will have a one year base period and four one-year options, with a total value not exceeding $95,000,000 over five years. Responses are due by October 22, 2019 and shall include a completed Contractor Information Form and project experience matrix demonstrating relevant past projects of $150,000 or more, including at least one project over $1,000,000. The work will be classified under NAICS code 236220 and is set aside for small businesses.
Contractor Information Form
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Other files
| File | Type | Posted |
|---|---|---|
| Project_Information_Form.docx | DOCX document | |
| N4008520R0002_SS_Matrix.xlsx | XLSX spreadsheet |
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Text version
SOURCES SOUGHT – CONTRACTOR INFORMATION FORM
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: |
| DUNS: |
| CAGE Code: |
| Firm Name: |
| Address: |
| Name of POC for firm: |
| Phone Number of POC: |
| Email of POC: |
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 |_| Small Business Small Business
3. Bonding Capacity:
| Surety Name: |
| Maximum bonding capacity per project: |
| $ |
| Aggregate maximum bonding capacity: |
| $ |
4. This space may be used to provide any additional information to clarify the above items only:
Please DO NOT change content of the form
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