Attachment 1_Contractor Information Form.docx

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

for Architect- Engineer IDIQ Contract Naval Surface Warfare Command Philadelphia Division

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.

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)

|_| Small Business

|_| SBA certified HUBZone Small Business

|_| Service-Disabled Veteran-Owned Small Business

|_| Small Disadvantaged Business

|_| SBA certified 8(a) firm

|_| Women-Owned Small Business

3. Bonding Capacity:

Surety Name:

Maximum bonding capacity per project:

Aggregate maximum bonding capacity:

4. Is your company currently registered in System of Award Management (SAM)? Yes |_| No |_|

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

Please DO NOT change content of the form