SS 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. DUNS Number:

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 □ 8(a) small business, □ service-disabled veteran-owned small business, □ HUBZone small business, □ Small Disadvantaged Business, □ Woman Owned, □ Minority, □ Native American, □ Small Business

SECTION 2: CONTRACTOR ARRANGEMENT

1. Our firm will be proposing on this project as a:

□ Sole Contractor,

□ Prime contractor performing at least 50% of the work with the following team member subcontractor(s) (Insert business name, business size, cage code, DUNS number, and work which will be subcontracted). Indicate those team members, if any, listed with which you have had prior working relationships, or

□ Joint venture (Provide business name, business size, Cage code, DUNS number, 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 agreement. (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 four below shall be for work performed on the contract/task order by the firm since February 2015. 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 environmental 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.

Programs

RCRA

CERCLA

Contaminants

Chemical/Biological Warfare Material

Hazardous, Toxic, or Radiological Waste (HTRW)

Munitions Constituents (MC)

Unexploded Ordnance (UXO)

Discarded Military Munitions (DMM)

Media

Soil

Sediment

Groundwater

Air

Sludge

Surface Water

Structures

Sites

Landfills

Hazardous Waste TSDFs

Former & Operational Munitions Ranges

Lagoons

Underwater Munitions Sites

Services

Technical Support, Including Community Relations

Topographic Surveys

Terrestrial Geophysical Surveys

Underwater Geophysical Surveys (i.e. Side Scan Surveys, AUV/ROV)

Vegetation Removal

Multimedia Sampling & Analysis

Temporary Support Facilities

O&M Instruction

Partnering with Navy, CLEAN Contractors, & Regulators

Quality Assurance support

Material Potentially Possessing an Explosive Hazard (MPPEH) Management and Disposal

Explosive Acquisition and Management

Material Documented as Safe (MDAS) Removal/Management/Recycling

Munitions Removal, Terrestrial

Munitions Removal, Underwater

Munitions Demolition

3. Does your firm have experience working in remote geographical areas and rugged environments with limited resources? Explain.

4. Does your firm with proposed team subcontractors listed in Section 2 have experience working in remote geographical areas and rugged environments with limited resources? Explain

5. IF AWARDED A CONTRACT, OUR FIRM □ IS/□ IS NOT CAPABLE TO PERFORM AT LEAST 50% OF THE COST OF THE SERVICES.

6. IF AWARDED A CONTRACT, AT LEAST 50% OF THE COST OF PERSONNEL FOR CONTRACT PERFORMANCE □ WILL/ □ WILL NOT BE SPENT FOR EMPLOYEES OF OUR FIRM. Prime contractor should describe how they will comply with FAR clause 52.219-14, Limitations on Subcontracting.

7. 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, UXO Site Manager, UXO Safety Officer, UXO Techs (I, II, and III), UXO Diver, Deforester, environmental engineers, environmental scientists, quality control, contract administration, administrative, health and safety specialists, etc., that demonstrates the firm’s ability to perform 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