Sources Sought Contractor Information Form.docx

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Sources Sought Notice for Indefinite Delivery Indefinite Quantity Asphalt and Concrete Repair and Replacement Contract in the Hampton Roads, VA Area of Responsibility
Solicitation number
N4008524B2500
Issued by

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This document contains a Sources Sought Contractor Information Form template and information on a related Sources Sought Notice opportunity. The Contractor Information Form is a one-page template requesting a contractor's UEI, CAGE code, firm name, address, point of contact information, business type, bonding capacity including maximum per project and aggregate maximum amounts. The related Sources Sought Notice is for an Indefinite Delivery Indefinite Quantity Asphalt and Concrete Repair and Replacement contract in the Hampton Roads, Virginia area of responsibility, issued by the Department of the Navy Naval Facilities Engineering Command as a pre-solicitation notice.

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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:
UEI:
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
|_| Small Business

|_| Economically Disadvantaged Women-Owned 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

File details come from the government source that posted it. Updated .