Sources_Sought_Response_Form_LTM_OM_24R2000.docx

SMALL BUSINESS RESPONSE FORM

SOURCES SOUGHT FOR N44255-24-R-2000

LONG TERM MONITORING OPERATION AND MAINTENANCE

ENVIRONMENTAL REMEDIATION IDIQ CONTRACT

FOR NAVAL FACILITIES ENGINEERING COMMAND, NORTHWEST

(Please remember to save your electronic response as “(Insert Company Name) – LTM O&M Sources Sought Response – N4425524R2000.doc” (or .docx or .pdf as appropriate). Email to steven.k.wells.civ@us.navy.mil and Bryanna.r.monfort.civ@us.navy.mil no later than February 24, 2024. Also remember that the NAICS for this planned solicitation is 562910 and the small business size standard is 1,000 employees.

Firm Name:

Address:

Point of Contact Name: Phone: Email:

Is your firm registered in the System for Award Management (SAM) website at https://www.sam.gov/?

Yes No

If yes, please provide CAGE or DUNS used in SAM.

Type of Business: (Check all which apply for NAICS 562910)

SBA Certified 8(a) Firm

SBA Certified HUBZone

Service Disabled Veteran-Owned Small Business

Veteran Owned Small Business

Small Disadvantaged Business

Woman Owned Small Business

Small Business

Other Type of Small Business (Specify)

What would be your firm’s interest in proposing on the planned solicitation?

Very Likely Likely Not Likely

SAMPLE PROJECT 1

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

If not, who was the prime contractor?

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications):

Please check which of the following services this contract included:

DETERMINE EFFECTIVENESS OF REMEDIAL ACTIONS

SERVICES to ELEMENT

______Project Management ______Surveying

OPERATION AND MAINTENANCE, MONITORING OF SITES

Treatment Systems ______In-situ Oxidation Systems Free Product Recovery Systems

MISCELLANEOUS

Narrative Description: Provide information on the project which demonstrates your firms prior experience with the requirements listed in the sources sought.

SAMPLE PROJECT 2

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

If not, who was the prime contractor?

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications):

Please check which of the following services this contract included:

DETERMINE EFFECTIVENESS OF REMEDIAL ACTIONS

SERVICES to ELEMENT

______Project Management ______Surveying

OPERATION AND MAINTENANCE, MONITORING OF SITES

Treatment Systems ______In-situ Oxidation Systems Free Product Recovery Systems

MISCELLANEOUS

Narrative Description: Provide information on the project which demonstrates your firms prior experience with the requirements listed in the sources sought.

SAMPLE PROJECT 3

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

If not, who was the prime contractor?

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications):

Please check which of the following services this contract included:

DETERMINE EFFECTIVENESS OF REMEDIAL ACTIONS

SERVICES to ELEMENT

______Project Management ______Surveying

OPERATION AND MAINTENANCE, MONITORING OF SITES

Treatment Systems ______In-situ Oxidation Systems Free Product Recovery Systems

MISCELLANEOUS

Narrative Description: Provide information on the project which demonstrates your firms prior experience with the requirements listed in the sources sought.

SAMPLE PROJECT 4

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

If not, who was the prime contractor?

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications):

Please check which of the following services this contract included:

DETERMINE EFFECTIVENESS OF REMEDIAL ACTIONS

SERVICES to ELEMENT

______Project Management ______Surveying

OPERATION AND MAINTENANCE, MONITORING OF SITES

Treatment Systems ______In-situ Oxidation Systems Free Product Recovery Systems

MISCELLANEOUS

Narrative Description: Provide information on the project which demonstrates your firms prior experience with the requirements listed in the sources sought.

SAMPLE PROJECT 5

Contract Number:

Contract Title:

Contract Award Date:

Contract Completion Date:

Contract Customer:

Contract Type: (Check all that apply)

Were you the prime contractor for the project? YES NO

If not, who was the prime contractor?

What percent of the entire project did you complete?

Contract Total Price (Award amount plus all modifications):

Please check which of the following services this contract included:

DETERMINE EFFECTIVENESS OF REMEDIAL ACTIONS

SERVICES to ELEMENT

______Project Management ______Surveying

OPERATION AND MAINTENANCE, MONITORING OF SITES

Treatment Systems ______In-situ Oxidation Systems Free Product Recovery Systems

MISCELLANEOUS

Narrative Description: Provide information on the project which demonstrates your firms prior experience with the requirements listed in the sources sought.