Information_Request_Form__Sheboygan_Breakwater_Repair.pdf

USACE Detroit District Sources Sought Information Request Form

Project Name: FY19 Sheboygan South Breakwater Repair

Bonding Requirement: $5,000,000.

NAICS: 239770

Interested firms: Please respond with this information form and any additional requested information to assist the Government with market research to determine an appropriate acquisition strategy.

1. Company information as listed in SAM.gov

Company Name: _______________________________________________________

Company Address: ______________________________________________________

DUNS Number: ____________

Socio‐economic status for the applicable NAICS: 239770 – check all that apply:

___Large Business ___Small Business ___Small Disadvantaged Business ___8(a) Small Business ___Service‐Disabled Veteran‐Owned Small Business (SDVOSB) HUBZone Small Business ___Woman‐Owned Small Business

The company must be listed in the System for Award Management (SAM) at www.SAM.gov with the socio‐economic status and NAICS identified above and within the Sources Sought notice. Without this information in the SAM database, a company’s information cannot be considered.

2. Bonding Capability:

Individual Project Bonding Capability: $__________________

Total Aggregate Bonding Capability: $___________________

3. Past Project Example

In an attachment, please provide descriptions of two projects substantially completed or completed with the last five years which are similar to this project in size, scope and dollar value.

4. Disclaimer and Contact Information

No basis for claim against the Government shall arise as a result of a response to this Sources Sought notice or Government use of any information provided. The Government will not pay for information or comments provided and will not recognize any costs associated with submission of documents.

Company Contact Name and Title: ______________________________________________

Phone and E‐mail contact: ______________________________________________________