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This is a Sources Sought Contractor Information Form and supporting documentation for a Navy NAVFAC Southwest Indefinite Delivery Indefinite Quantity (IDIQ) Multiple Award Construction Contract (MACC) for dry utilities projects. The solicitation (N6247326RDRYU) is a pre-solicitation market research announcement seeking qualified small businesses, including SBA certified 8(a) firms, HUBZone small businesses, women-owned small businesses (WOSB), and service-disabled veteran-owned small businesses (SDVOSB), to perform new construction, repair, and renovation of various dry utilities construction projects at government installations across California, Arizona, Nevada, Utah, Colorado, and New Mexico. This is a sources sought synopsis for preliminary planning and market research purposes only and does not constitute a commitment or request for proposal; no reimbursement will be made for responses, and respondents will not be notified of results.

The form requires contractors to provide general company information including UEI and CAGE code, business certifications, surety bonding capacity, and geographic capability to work in the six specified locations. Contractors must submit up to five construction experience projects demonstrating relevant experience, with detailed information on contract numbers, award dates, final contract prices, completion status, work type, customer contact information, prime or subcontractor role, contract type (design-build, design-bid-build, or other), and percentage of self-performed work. Additionally, contractors must submit five years of reported safety data including OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) rates and Total Case Rate (TCR) for 2021-2025, with explanations for rates of 3.0 or greater (DART) or 4.5 or greater (TCR) and any negative trends. Joint venture or mentor-protégé agreement participants must complete the safety data form separately for each business entity.

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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

for

NAVFAC SOUTHWEST DRY UTILITIES MACC

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

|_| Women-Owned Small Business

3. Bonding Capacity:

Surety Name:
Maximum bonding capacity per project:
$
Aggregate maximum bonding capacity:
$

4. Locations. Identify the locations you are willing and capable to work: (check all that apply)

|_| California
|_| Arizona
|_| Utah
|_| New Mexico
|_| Colorado
|_| Nevada

If you are not willing and capable to work in all 6 locations noted above, explain why not:

5. This space may be used to provide any additional information to clarify the above items only:

Form may be expanded. Please DO NOT change content of the form.

(Rev. 11/15)

SOURCES SOUGHT – CONSTRUCTION EXPERIENCE PROJECT DATA FORM

for

NAVFAC SOUTHWEST DRY UTILITIES MACC

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 sources sought issuance 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

|_| 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.

SAFETY DATA SHEET

N62473-26-R-DRYU

This form is to be completed by the Offeror. Use this form to provide safety information for the Safety factor. DART rates and TCRs shall not be submitted for subcontractors.

Joint Venture (JV) or mentor-protégé agreements (MPA): Complete Blocks 1 – 4 for each business entity who is part of the JV or MPA.

1. Offeror Name:

Name of JV member or partner (if applicable):

Five Previous Complete Calendar Years of Reported Safety Data:

Only complete year safety data will be considered. Indicate data rates as decimal figures, not whole numbers.

2. U.S. Department of Labor, OSHA Days Away from Work, Restricted Duty, or Job Transfer (DART) Rate
2021
2022
2023
2024
2025

Instructions for calculating the DART rate can be found at http://www.bls.gov/iif/osheval.htm.

2a. For DART Rates of 3.0 or greater, explain any extenuating circumstances and corrective actions taken:

2b. Explain any negative DART Rate trends and any corrective actions taken for improvement:

2c. If you do not have a DART Rate for a given year, state so here and explain why:

3. U.S. Department of Labor, OSHA Total Case Rate (TCR)
2021
2022
2023
2024
2025

Instructions for calculating the TCR can be found at http://www.bls.gov/iif/osheval.htm.

3a. For TCRs of 4.5 or greater, explain any extenuating circumstances and corrective actions taken:

3b. Explain any negative TCR trends and any corrective actions taken for improvement:

3c. If you do not have a TCR for a given year, state so here and explain why:

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