SOURCES SOUGHT CAPABILITIES QUESTIONNAIRE.docx

SOURCES SOUGHT CAPABILITIES QUESTIONNAIRE

(Additional spaces may be added to the questionnaire as needed for responses.)

SECTION 1: GENERAL

1. Business Name:

2. Business Address:

3. Cage Code:

4. Unique Entity Identifier (UEI):

5. NAICS Code(s) (list all NAICS codes your firm is registered under):

6. Responsible Point of Contact:

7. (Check All That Apply) Our firm is a:

SBA certified 8(a) small business

Service-disabled veteran-owned small business

SBA certified HUBZone small business

SBA Certified Woman-Owned or Economically Disadvantaged Woman-Owned small business

Alaskan Native Corporation (ANC)

Small Business

SECTION 2: CONTRACTOR ARRANGEMENT

(Check the One that Applies) Our firm will be proposing on this project as a:

Sole Contractor

Prime Contractor performing the work with the following subcontractor(s) (Insert business name, business size/socioeconomic status, cage code, UEI, type of work, and estimated dollar amount that will be subcontracted)

Prime contractor performing the work with the following team member subcontractor(s) (Insert business name, business size/socioeconomic status, cage code, UEI, type of work, and estimated dollar amount that will be subcontracted). Indicate those team members, if any, listed with which you have had prior working relationships

Joint venture (Provide business name, business size, Cage code, UEI, list all JV members, date (month and year) JV was formed, and list of contracts (including contract numbers) performed, if any, by the joint venture entity). Please note if JV was formed in accordance with the Small Business Administration’s mentor protégé program. (See FAR subpart 9.6 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 FAR 19.1403(c) and 13 CFR 125.15(b).)

SECTION 3: SMALL BUSINESS FIRM’S PAST EXPERIENCE

NOTE: For purposes of responding to the questions in this section, FIRM refers to the small business entity performing as a prime sole contractor, team subcontractor, protégé member of a joint venture under a SBA mentor/protégé agreement, or the joint venture entity listed above under SECTION 2. CONTRACTS and TASK ORDERS provided in response to questions one through five below shall be for work performed on the contract/task order by the firm since May 2017. For questions where the FIRM does not have the experience requested, note as N/A.

FIRM’S SHOULD FILL OUT THE ATTACHED SPREADSHEET LABELED “SECTION 3: SMALL BUSINESS FIRM’S PAST EXPERIENCE” FOR QUESTIONS ONE THROUGH FOUR.

SECTION 4: CAPABILITY

NOTE: FOR PURPOSES OF RESPONDING TO THE QUESTIONS IN THIS SECTION, FIRM REFERS TO THE SMALL BUSINESS ENTITY AS A PRIME SOLE CONTRACTOR, OR THE JOINT VENTURE ENTITY LISTED ABOVE UNDER SECTION 2.

1. Our firm □does / □does not have an accounting system capable of handling multiple cost plus award fee task orders. This accounting system □has / □has not been approved by DCAA.

2. Indicate by an “X” in each block below those programs, contaminants, medias, sites and services in which your firm on its own and your firm in combination with all proposed team members listed under Section 2, as applicable, has had specialized experience.

Administrative

Industrial Maintenance

Warehouses

Hangars

Operational

Water/Wastewater Treatment

Communications

Personnel Support

Recreation

Religious

Educational

Child Development

Dining

Lodging

Dormitory

Medical

Laboratory

Research-Development Test

Security

Training

Ranges

Airfields

Roads

Railroad

Utility Infrastructure

Piers

Wharves

Quay Walls

Dry Docks

Bulkheads

Gantry/Portal Crane Rail Systems

Fender Systems

Berthing and Mooring Facilities

Waterfront Related Utilities

3. Our firm has experience working in the following locations:

4. Our firm with proposed team subcontractors listed in Section 2 has experience working in the following locations.

5. IF AWARDED A CONTRACT, the firm □ WILL/ □ WILL NOT PAY MORE THAN 50% OF THE AMOUNT PAID BY THE GOVERNMENT FOR CONTRACT PERFORMANCE TO SUBCONTRACTORS THAT ARE NOT SIMILARLY SITUATED ENTITIES. Prime contractor should describe how they will comply with FAR clause 52.219-14, Limitations on Subcontracting.

6. Provide the total number of Full Time Equivalents (FTEs) currently employed by the firm. For a joint venture entity, provide total number of FTEs for each joint venture member. By separate attachment, provide a list of the number of employees by major categories, such as project managers, environmental engineers, environmental scientists, quality control, contract administration, administrative, craft/laborers, biologists, health and safety specialists, etc., that demonstrates the firm’s ability to perform environmental remedial actions and the management of a large IDIQ cost reimbursement contract.

TOTAL NUMBER OF FTEs:

Attach list(s) of number of employees by major labor categories. For a joint venture entity a separate list should be attached for each joint venture member.

END OF QUESTIONNAIRE