Attachment 002 Mandatory Contractor Questionnaire dated 6 MAY 2026.docx

6 May 2026 Contractor Questionnaire: Basic Ordering Agreement (BOA) Solicitation Number: W519TC-25-G-A001 NAICS Codes:

562910 - Environmental Remediation Services 562211 – Hazardous Waste Treatment and Disposal Instructions: This questionnaire is a mandatory component of the submission for the Basic Ordering Agreement (BOA). Please complete all sections with accurate and thorough information. Where requested, provide supporting documentation as attachments.

Section 1: Company Information

1.1. Legal Company Name:

(As registered in SAM.gov)

1.2. Unique Entity Identifier (UEI):

1.3. CAGE Code:

1.4. Corporate Office Address:

(Street, City, State, ZIP Code)

1.5. Point of Contact (POC) for this Solicitation:

* Name:

* Title:

* Phone Number:

* Email Address:

1.6. NAICS Code Confirmation:

Please confirm that NAICS code 562910 is listed in your company's SAM.gov profile.

* ☐ Yes

* ☐ No Please confirm that NAICS code 562211 is listed in your company's SAM.gov profile.

* ☐ Yes

* ☐ No

Section 2: 8(a) Program and Business Status

2.1. SBA 8(a) Program Participation:

Is your company a current participant in the SBA 8(a) Business Development Program?

* ☐ Yes

* ☐ No

* If yes, please provide your 8(a) program graduation date:

2.2. Indigenous Status:

Does your company hold an indigenous status (e.g., Alaska Native Corporation (ANC), Native American Tribe, or Native Hawaiian Organization (NHO))?

* ☐ Yes

* ☐ No

2.3. Joint Venture (JV) Status:

Is your company submitting as a Joint Venture?

* ☐ Yes

* ☐ No

2.4. Mentor-Protégé Arrangement:

Is your company part of an SBA-approved Mentor-Protégé arrangement?

* ☐ Yes

* ☐ No

* If yes, please identify the Mentor and Protégé:

* Mentor:

* Protégé:

Section 3: Broker Access for Waste Shipment

3.1. Access to Trained Broker:

Does your company have access to a trained and qualified broker for the shipment of waste materials?

* ☐ Yes

* ☐ No

* If yes, please list the name of the individual(s):

3.2. Broker Qualifications:

Will you be submitting qualifications for the broker(s) listed above? (Note: Refer to Addendum 1 for specific requirements for Labor Qualifications.)

* ☐ Yes

* ☐ No

Section 4: Radioactive Materials Licenses

4.1. License Possession:

Does your company hold any Radioactive Materials Licenses from the U.S. Nuclear Regulatory Commission (NRC) or an Agreement State?

* ☐ Yes

* ☐ No

* If yes, please provide the following for each license and attach a copy of the latest amendment with your submission. Summarize them here:

4.2. Authorized Use Conditions:

Do your license(s) include authorized use conditions for activities incidental to the characterization and transportation of radioactive waste? (Note: Refer to Addendum 1 for specific requirements for Radioactive Materials Licenses.)

* ☐ Yes

* ☐ No

4.3. Jurisdictional Procedures:

Do your license(s) describe the jurisdictional procedures and limitations?

* ☐ Yes

* ☐ No

Section 5: Evidence of Decommissioning Support

5.1. Submission of Decommissioning Evidence:

Are you submitting a Final Status Survey (FSS) Plan or FSS Report as evidence of your company's decommissioning support experience?

* ☐ Yes, a copy of the plan/report is included with this submission.

* ☐ No

5.2. Company Involvement:

Please provide a brief narrative (500 words maximum) describing your company's direct involvement in the development and execution of the submitted FSS Plan or Report. Detail the specific roles and responsibilities your company held:

Section 6: Evidence of Site Disposal Operations

6.1. Submission of Site Disposal Operations Evidence:

Are you submitting a (maximum) 2-page Statement of Qualifications that describes the company’s prior experience in disposing of waste from demolition and/or excavation site(s)?

* ☐ Yes, a copy of the statement of qualifications is included with this submission.

* ☐ No

Section 7: Tier Qualification Self-Assessment Please perform a self-assessment of your company's qualifications against the technical criteria defined for each contract tier.

Please Note: Your selections serve as a self-assessment. The final determination for tier assignment and on-ramping into this Basic Ordering Agreement (BOA) will be made by ACC-Rock Island.

Instructions:

1. Review Criteria: Carefully review the technical criteria for each of the six (6) tiers as detailed in Addendum 3.

2. Select Tiers: In the list below, check the box next to each tier for which your company meets all stated requirements.

3. Provide Justification: In the narrative section, explain how your company qualifies for each tier you selected. Your response must be 500 words or less and should directly reference the criteria in Addendum 3.

7.1. Self-Assessed Tier Selection

(Select all that apply) ☐ Tier 1 – Low-Level Radioactive Waste (Minimum Requirement) ☐ Tier 2 – Low-Level Mixed Waste ☐ Tier 3 – Decommissioning Support ☐ Tier 4 – Site Disposal Operations ☐ Tier 5 - Technical Radiation Protection - Not Otherwise Specified ☐ Tier 6 – Emergency Response

7.2. Justification Narrative (500-word limit)

(Provide your detailed rationale below, referencing the specific criteria from Addendum 3 for each tier selected.)

Section 8: Comments If you are not submitting a proposal, please explain why.

What changes would be necessary for your company to provide a proposal?

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