N6247026R0030 Attachment 1 Capabilities Questionnaire - Final.pdf

SOURCES SOUGHT – Electrical Utility & Facility A/E IDIQ Contract N6247026R0030

ATTACHMENT 1: CAPABILITIES QUESTIONNAIRE

Use this form to provide general information. The space at the end of the form may be used to clarify any requested information. Please respond to all questions as completely as possible.

SECTION 1. GENERAL

Unique Entity ID: ____________________ CAGE Code: ____________________

A. Business Name: (Insert Business Name)

B. Business Address: (Insert Business Address)

C. Is your firm registered under the NAICS code 541330? (Yes or No).

a. If not, what NAICS code do you propose for this requirement and why? __________________

D. Indicate the business size in relation to the NAICS code 541330 and socioeconomic programs for which the firm qualifies. ___________________________

E. Proposed Product Service Code (PSC) is C219 -- ARCHITECT AND ENGINEERING- GENERAL: OTHER.

Does your Firm propose another PSC? If so, please explain ________________________

F. Does your firm employ more than 30 full-time personnel? (Yes or No)

a. Capability (key personnel) to perform such work. Please list the number of of staff for each discipline listed below:

Disciplines (Licensed) # of personnel Electrical Engineer, Jr Electrical Engineer Electrical Engineer, Sr.

Geologist GIS/Data Management Health & Safety Manager Project Manager Program Manager QA Manager/Technical Reviewer Sr.

Cost Estimator

G. Principals/Responsible Point of Contact:

Name: (Insert Name)

Title: (Insert Title)

Telephone: (Insert Telephone Number)

Email: (Insert Email Address)

Name: (Insert Name)

Title: (Insert Title)

Telephone: (Insert Telephone Number)

Email: (Insert Email Address)

SECTION 2. TYPE OF BUSINESS: (check all that apply)

________Small Business (SB)

________Service Disabled Veteran Owned SB (SDVOSB)

________ SBA certified Historically Underutilized Business Zone (HUBZone) SB

________ SBA certified Section 8(a) SB

________ SBA certified Women-Owned Small Business (WOSB)

________ Economically Disadvantaged Woman-Owned Small Business (EDWOSB)

________Other Than Small Business (Insert Type) ________________________

NOTE: Recent changes to the WOSB program. As of October 15, 2020, WOSB/EDWOSBs must be registered at beta.certify.sba.gov. WOSBs/EDWOSBs may no longer self-certify to establish qualification for WOSB/EDWOSB set-aside contracts. Contractors must be registered in SAM at time of bid/proposal due date. For more information on the definitions or requirements for these small business programs, refer to http://www.sba.gov.

If you have selected any of the above, how will your firm comply with the limitations on subcontracting clause (RFO 52.219-14)? (Please explain)

EXPERIENCE:

1. Number of years/months executing AE projects performing services similar to those anticipated under this contract: ________years ________ months

2. Number of years/months executing US Government AE projects performing services similar to those anticipated under this contract: ________years ________months

3. What is your Firm’s highest dollar valued AE contract within the last five years?

4. The $90M Electrical Utility & Facility A&E IDIQ may require work as follows. Select all that apply that the Firm has performed within the past five years:

a. Engineering services in support DD1391 electrical project development – for 345 kV down to 120V, both AC and DC (Yes or No)

b. Hazardous Material Assessments such as Asbestos, PCBs, Mold and Lead Paint (Yes or No)

c. Shore-to-Ship Power Assessments (Yes or No)

d. Produce flat file spreadsheets containing various utility & facility component data gathered in the field for multiple electrical assets, capable of being uploaded into Government databases (i.e. Maximo) (Yes or No)

e. Electrical Utility & Facility Assessments (Yes or No)

f. GIS / GRX locations and mapping (Yes or No) http://www.sba.gov/

5. Does your Firm have the ability to simultaneously manage multiple projects totaling $15M or more per year around the world? (Yes or No)

6. How many $1 M task orders can the firm successfully perform and manage at one time:

a. One task order

b. Two task orders

c. Three task orders

d. Four task orders

e. Five task orders

f. More than five task orders

7. The firm has performed these types of services within the past 5 years:

a. Military (engineering for maintenance and repair of utilities & facilities and associated infrastructure on a DoD installation) (Yes or No)

b. Military (inspection and assessment of utilities & facilities on a DoD installation) (Yes or No)

c. Federal (engineering and inspection/assessments for non-DoD) (Yes or No)

SECTION 3. CONTRACTOR ARRANGEMENT

Our firm will most likely be proposing on this IDIQ as a:

____Joint Venture with (Insert business name, business size, and cage code).

Refer to RFO 9.104-3(c)(2)for Government policy on teaming arrangements, as well as 8(a)Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in RFO 19.106-2(b) and 13 CFR 125.)

____Sole Contractor, self-performing 100% of the work

____Prime Contractor (Small Business), self-performing at least 50% of the work

____Prime Contractor (Small Business) performing at least 50% of the work with the following team member subcontractor(s) (Insert business name, business size, cage code, and work which will be subcontracted) (IAW RFO 52.219-14(e)(1), Deviation Date)

____Subcontractor, performing less than 50% of the work for (Insert business name, business size, cage code, and work which will be done)

____ Prime Contractor (Large Business) subcontracting more than 50% of the work (Insert business name, business size, cage code, and work which will be subcontracted)

____Other – explain_________________________