RFI_Attachment 1.docx

CORPORATE BACKGROUND INFORMATION QUESTIONNAIRE

Company Information

Name of Company:

Mailing Address:

Cage Code:

DUNS Number:

Phone Number:

FAX Number:

Company Point of Contacts

Name of Primary:

Title:

Email:

Fax Number:

Name of Alternate:

Title:

Email:

Fax Number:

NAICS CODE(s):

(circle one)

Government Certifications (Place a check next to all that apply)

8(a) Certified or 8(a) Joint Venture

Small Disadvantaged Business

Hubzone Certification

Ownership and Self-Certifications (Place a check next to all that apply)

Any Minority Owned:

__ Any Native American Owned:

__ Tribally Owned __ Alaskan Native Corp Owned __ Native Hawaiian Org Owned __ Other Native American __ Other Minority Owned

Any Women-Owned Small Business:

__ Women-Owned Small Business under the Women-Owned Small Business Program __ Economically Disadvantaged Women-Owned Small Business under the Women-Owned Small Business Program __ Women-Owned Small Business Joint Venture __ Economically Disadvantaged Women-Owned Small Business Joint Venture

Community Development Corporation (CDC) Owned

Service Disabled Veteran-Owned

Self-Certified Small Disadvantaged Business

Veteran Owned (including Service Disabled Veteran Owned)

REQUEST FOR INFORMATION

Maintenance and Repair Contact at Naval Base Guam

Attachment 1: CORPORATE BACKGROUND INFORMATION QUESTIONNAIRE

CORPORATE BACKGROUND INFORMATION QUESTIONNAIRE

(continued)

Maintenance and Repair RFI Page 2 of 5 Specific information NAVFAC is seeking:

1Q. Does your company have, or can secure the personnel to support a maintenance and repair program for naval construction equipment and support vehicles? If your company does not already have a business location in Guam are your able to establish a presence. (IE: The business headquarters may be located in the Continental United States (CONUS) with a point of contact in Guam.) Please provide details below.

1A. Circle either YES or NO

1A. __________________________________________________________________

2Q. Does your company regularly engage in the business of providing services for the preventative maintenance, refurbishment, repair, modernization, and modification of over-the-road vehicles (i.e. gasoline and diesel driven automobiles and trucks), and/or offroad equipment (e.g. heavy construction equipment, industrial material handling equipment, electrical generators, etc.)?

2A. Circle either YES or NO

3Q. If answer to Question 2 was yes, please provide an overview of vehicle types and/or equipment types your company typically works on.

3A. __________________________________________________________________

4Q. If answer to Question 2 was yes, please provide an overview of services your company typically provides for these vehicles and equipment.

4A. __________________________________________________________________

5Q. If answer to Question 2 was yes, is your company familiar with, or has previously applied any Military Standards in the performance of your work? If so, please list the Military Standards utilized.

5A. __________________________________________________________________

6Q. If answer to Question 2 was yes, how long has your company provided these types of services? (Provide in YEARS and MONTHS)

6A. __________________________________________________________________

7Q. If answer to Question 2 was yes, what are some of the internal technical capabilities inherent to your current business and/or facilities? (e.g. Diagnostic instruments, engine rebuilds, large tire changing, body repairs, equipment painting, etc.).

7A. __________________________________________________________________

8Q. If answer to Question 2 was yes, is your company capable of providing similar service near Naval Base Guam, Guam (NBG), or various locations on and off NBG and adjacent locations?

If so, please discuss capabilities you can provide.

8A. __________________________________________________________________

9Q. If answer to Question 8 was yes, please describe your facility(ies) (i.e. paint booth, blasting area, capacity of shop, and size of work force), this can be provided on a separate sheet of paper if necessary.

9A. __________________________________________________________________

10Q. If answer to Question 8 was yes, please provide the dimensional data for the largest piece of equipment your facility can accommodate.

10A. _________________________________________________________________

11Q. Has your company worked with Chemical Agent Resistant Coating (CARC) paint before?

11A. Circle either YES or NO

12Q. If necessary, can your company support a surge event? A surge event is a rapid increase in work flow in response to world events, to possibly include processing more equipment and/or expedited services.

12A. Circle either YES or NO

13Q. If applicable, on a separate piece of paper please list any contracts your company is currently performing that would be considered the same as or similar to this effort (size, scope, complexity). In addition, please include any you may have completed within the last five years.

Please include:

(a) Name of Contracting Activity,

(b) Contract type (FFP, cost, IDIQ, or Combination),

(c) Period of Performance,

(d) Basic Contract Award Amount with Options,

(e) Contract Value Per Year,

(f) Current/Final Contract Amount,

(g) Summary of Contract Work,

(h) Contracting Officer Name and Current Telephone Number, and

(i) List of Major Subcontractors including name, address, and telephone number of primary point of contact.

14Q. Does your company normally submit a proposal as its own business entity or as a Joint Venture when competing for this type of work?

14A. Circle either Own Business Entity or Joint Venture

15Q. If competing as a Joint Venture, list those firms with whom you are affiliated.

15A. _________________________________________________________________

16Q. For Small Businesses, please identify your business type (See notes (1) and (2) below):

___ HUBZone Small Business

17Q. Should the solicitation be set-aside for Small Business, will the Small Business be able to meet the FAR 52.219-14, LIMITATIONS ON SUBCONTRACTING (i.e.: at least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern)?

17A. Circle either YES or NO

NOTE:

(1) Please mark all categories under which your company qualifies. To qualify as an 8(a), Small Disadvantaged or HUBZone Small Business, your company must be certified by the Small Business Administration.

(2) The Government recognizes the integrity and validity of team arrangements (including joint-ventures) to act as potential prime contractors (FAR 9.601). However, some affiliation rules apply to small business joint ventures in order to maintain their small business status. Please refer to FAR Part 19, 13 CFR 124, and 13 CFR 126.

(3) All data received in response to this Source Sought Notice marked or designated, as corporate or proprietary information will be fully protected from release outside the Government.

Additional Comments: _________________________________________________

Maintenance and Repair RFI Page 6 of 6