Sources Sought Questionnaire.rtf

NAVFAC Washington Sources Sought Form

NAVFAC Washington Sources Sought Questionnaire

Title:

Regional Pest Control Services Price Range: -

Location: Description:

NAVAL DISTRICT WASHINGTON

NAICS Code:

561710

Size Standard:

$15.5 Million file_0.wmf file_1.wmf

Prime Contractor Information

Contractor:

Address:

Point of Contact:

Phone:

City:

EMR

State:

2016 2017 Zip Code

E-mail:

DUNS #:

DART

2016 2017 2018 CAGE Code:

Bonding or Certificate of Insurance Capacity: Single Project:

Aggregate:

Small Business Classification: Small Disadvantaged Business HUB Zone Section 8(a) Service Disabled Veteran Owned Small Business Women Owned What percentage of the work described above can be performed by the prime contractor?

Partnering Information Partnering:

Joint Venture Sub/Prime Mentor/Protegé N/A file_2.wmf

State: Zip Code E-mail:

Specialty:

2016 2017 2018

2016 2017 2018 file_3.wmf

Partnering:

Joint Venture Sub/Prime Mentor/Protegé N/A

State: Zip Code E-mail:

Specialty:

2016 2017 2018

2016 2017 2018

Similar Project Past Performance Project Title:

Start Date:

End Date:

Annual Contract Value:

Total Contract Value:

Location:

Contractor:

Role:

Description:

NAVFAC Washington Sources Sought Form

Project Involved: (Check all that apply)

Subcontractors Used: Awards:

Customer Point of Contact: Phone: E-mail:

Project Title:

Start Date: End Date:

Location: Annual Contract Value:

Total Contract Value:

Contractor:

Role:

Description:

Subcontractors Used:

Awards:

Customer Point of Contact: Phone: E-mail:

Subcontractors Used:

Customer Point of Contact: Phone: E-mail:

Project Title:

Start Date: End Date:

Location: Annual Contract Value:

Total Contract Value:

Contractor:

Role:

Description:

Subcontractors Used:

Customer Point of Contact: Phone: E-mail: