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SOURCES SOUGHT – CONTRACTOR INFORMATION FORM
for THE METROPOLITAN SAN DIEGO (NAVAL BASES SAN DIEGO, POINT LOMA, CORONADO, AND MARINE CORPS AIR STATION (MCAS) MIRAMAR), CA, AORS, GENERAL CONSTRUCTION PROJECTS IDIQ JOC
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: |
| UEI: |
| CAGE Code: |
| 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 |
|_| Women-Owned Small Business
3. Bonding Capacity:
| Maximum bonding capacity per project: |
| $ |
| Aggregate maximum bonding capacity: |
| $ |
4. Locations. Identify the locations you are willing and capable to work: (check all that apply)
| |_| NB SAN DIEGO AOR |
| |_| NB POINT LOMA AOR |
| |_| MCAS MIRAMAR AOR |
| |_| NB CORONADO AOR |
If you are not willing and capable to work in locations noted above, explain why not:
5. Safety. OSHA Days Away from Work, Restricted Duty, or Transfer (DART) Rate, and Total Recordable Case (TRC) Rate:
6. This space may be used to provide any additional information to clarify the above items only:
Form may be expanded. Please DO NOT change content of the form.
(Rev. 11/15)
SOURCES SOUGHT – CONTRACTOR INFORMATION FORM
for THE METROPOLITAN SAN DIEGO (NAVAL BASES SAN DIEGO, POINT LOMA, CORONADO, AND MARINE CORPS AIR STATION (MCAS) MIRAMAR), CA, AORS, GENERAL CONSTRUCTION PROJECTS IDIQ JOC
Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit up to five (5) projects. Please limit response to two pages per project.
| 2. | | | | |
| Project No. (check one): | | | | |
| |_| - 1 | |_| - 2 | |_| - 3 | |_| - 4 | |_| - 5 |
| 3. |
| Contract Number: |
| Delivery/Task Order No.: |
| 4. |
| Award Date (mm/dd/yy): |
| 5. |
| Final Contract Price: |
| $ |
| Completion Date (mm/dd/yy): |
| (includes all options and mods) |
| Project is % complete (as of sources sought issuance date) |
| This is the |_| total project |_| subcontract price. |
| 6. | | |
| Type of work: | | |
| |_| New Construction | |_| Repair | |_| Renovation |
| Point of Contact Name/Title: (person with project knowledge) |
| POC Phone Number: |
| POC Email Address: |
| 8. | |
| Were you the Prime contractor for this project? | |
| |_| Yes | |_| No |
| Were you a subcontractor for this project? | |
| |_| Yes | |_| No |
| If subcontractor, who was the Prime contractor? |
| 9. |
| Type of Contract (check all that apply): |
|_| Design-Build |_| Design-Bid-Build |_| Other (explain):
10. Provide a detailed description of the project:
11. Percentage of commercial/institutional building construction you self-performed on this project: %. Provide a detailed description of the work your firm self-performed on this project. Note: do not include project administration or management functions (such as quality control or safety program) or miscellaneous work (such as housekeeping or cleanup).
Form may be expanded. Please DO NOT change content of the form.
