R6382 Sources Sought Contractor Information Form.docx

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Attached to
P490, DESIGN-BUILD, CRASH RESCUE STATION 1, JOINT BASE ANDREWS, CAMP SPRINGS, MD
Solicitation number
N40080-21-R-6382
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R6382 Sources Sought Project Data Form.docx DOCX document

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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

For N4008021R6382 Design-Build, P-490 Crash Rescue Station 1, Joint Base Andrews, MD

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:
DUNS:
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

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