Sources Sought_Contractor_Info_Form.docx

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Attached to
Grounds Maintenance Service for Commander Fleet Activities Okinawa (CFAO), Okinawa, Japan.
Solicitation number
N4008424T3601
Issued by

About this file

This document contains a contractor information form and details regarding an upcoming federal contract opportunity for grounds maintenance services at Commander Fleet Activities Okinawa in Japan. The contractor information form requests general company details and up to five relevant past project examples with details on contract numbers, award and completion dates, final prices, work descriptions, customers, and percentages of work self-performed. The related federal contract opportunity is a pre-solicitation notice from the Department of the Navy Naval Facilities Engineering Command for grounds maintenance services at CFAO in Okinawa under solicitation number N4008424T3601. Relevant response dates or pricing terms are not provided.

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Text version

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for Grounds Maintenance Service for Commander Fleet Activities Okinawa (CFAO), Okinawa, Japan.

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:

Firm Name:

Address:

CAGE CODE:

Name of POC for firm:

Phone Number of POC: Email of POC:

2. This space may be used to provide any additional information that is relevant:

(Rev. 03/13)

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM for Grounds Maintenance Service for Commander Fleet Activities Okinawa (CFAO), Okinawa, Japan.

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to 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):Completion Date (mm/dd/yy):Project is % complete (on submission due date)
5.Final Contract Price:¥

(incl. all options and mods)

This is thetotal projectsubcontract price.
6.Type of work:Facilities SupportMaintenance/Overhaul/ Repair/ Alteration services
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?YesNo Were you a subcontractor for this project?YesNo

If subcontractor, who was the Prime contractor?

9. Type of Contract (check all that apply):

Firm Fixed-Price (FFP) Indefinite Delivery / Indefinite Quantity (IDIQ) Other (explain):

If partnership, provide the following information:

Partner firm name: Years working together:

Address:

10. Narrative Description of the Project:

11. Percentage of work you self-performed on this project: %. Explain work self-performed:

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

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