N4008527R0022 Project Data Form.docx
DOCX document 19 KB Posted
- Solicitation number
- N4008527R0022
About this file
This is a Sources Sought Experience Data Form for federal contract opportunity N4008527R0022, designed to collect project experience information from potential contractors. The form serves as a template for companies to submit up to five relevant projects demonstrating their capability to perform inspection, maintenance, and certification of horizontal lifelines and ladder safety systems at Naval Support Activity (NSA) Portsmouth, Virginia. Contractors are required to limit each project submission to two pages and provide comprehensive details including contract numbers, award and completion dates, final contract pricing, project location, customer information, and the contractor's role (prime or subcontractor).
The form requests detailed information about the type of work performed, contract structure (design-build, design-bid-build, or other), and the percentage of work self-performed by the responding firm. Specific fields capture the point of contact with direct communication information, design firm details for design-build projects, and a narrative description of the project and work performed. This Sources Sought Notice is issued by Naval Facilities Engineering Systems Command (NAVFAC), Mid-Atlantic, and is targeted toward Small Business, Small Disadvantaged Business, Women-Owned Small Business, Service-Disabled Veteran-Owned Small Business, HUBZone, and 8(a) certified businesses. The government has indicated that large business submittals will not be considered, with the determination of a set-aside acquisition to be made following review of industry response.
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Other files
| File | Type | Posted |
|---|---|---|
| N4008527R0022 Contractor Information Form.docx | DOCX document | |
| 27R0022 Sources Sought Notice.docx | DOCX document |
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Text version
SOURCES SOUGHT –EXPERIENCE DATA FORM
For N4008527R0022
INSPECTION, MAINTENANCE, AND CERTIFICATION OF HORIZONTAL LIFELINES
AT NAVAL SUPPORT ACTIVITY (NSA) PORTSMOUTH, PORTSMOUTH, VIRGINIA
Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to five (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): |
| 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. | ||
| Type of work: | ||
| |_| New Construction | |_| Repair | |_| Renovation |
| 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): |
|_| Design-Build |_| Design-Bid-Build (fully designed project)
| |_| Other (explain): |
| If Design-Build, provide the following information: |
| |_| Design accomplished in-house |
| Lead design firm name: |
| Years working together: |
| Address: |
10. Provide a detailed description of the project:
11. Percentage of work you self-performed on this project: %.
Provide a detailed description of the work your firm self-performed on this project:
Form may be expanded. Please DO NOT change content of the form.
File details come from the government source that posted it. Updated .