Form Pre Award Survey.pdf
PDF 100 KB Posted
- Attached to
- Navy Ops Support Center Federal contract opportunity
- Solicitation number
- W9123820R0058
About this file
This document contains a pre-award survey form and information on a federal construction contract opportunity. The pre-award survey form collects data from construction contractors, including present payroll personnel, equipment owned, financial information, value of past construction work, largest jobs, type of work specialized in, and equipment available for the prospective contract.
The federal contract opportunity is a design-build contract to design and construct a low-rise Navy operations support center training facility. The scope of work includes administrative support, medical services, unit classrooms, offices and a drill hall. The contractor must perform all civil, architectural, structural, utilities and other work to support construction. The project must be designed according to criteria in the solicitation and applicable codes and standards.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| SF1442 Phase 1 W9123820R00058 Amendment 0001.pdf | ||
| Form for Proposal Data Sheet.pdf | ||
| Form Past Performance Questionaire.pdf | ||
| Form Offeror Project Experience.pdf | ||
| Attachment 1 Summary of Work.pdf | ||
| Attachment 4 Wage Determination 01 01 2021.pdf | ||
| SF1442 Phase 1_W9123820R0058 NAVY OPS 13JAN2021.pdf | ||
| Attachment 3 Supplemental Contract Requirements.pdf | ||
| Attachment 5 Instructions.pdf | ||
| Attachment 2 P203 NOSC Concept Design Drawings (FINAL).pdf |
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Text version
PRE-AWARD SURVEY
CONSTRUCTION CONTRACTOR DATA DATE:
Firm Name and Telephone Number Main Office Address (Street, City, and State)
Branch Offices Services Rendered Construction Design Consultant
Organization Individual � � Joint Venture Partnership� � Corporation
Date Organized Date Incorporated:
State:
Names of Officers and Other Key Personnel
I – PRESENT PAYROLL PERSONNEL (List Number of Each Category Below)
Partners:
Officers:
Other Key:
Remainder: Subtotal Permanent:
Maximum Personnel at Any Time:
Date:
Total:
II—EQUIPMENT OWNED III—FINANCIAL DATA AS
OF (DATE): Present Value ($) Current Assets:
Acquisition Cost ($) Current Liabilities:
Net Worth:
IV—TOTAL VALUE OF CONSTRUCTION AND DEMOLITION
WORK IN PAST 6 YRS EXCLUSIVE OF JOINT VENTURE
(LIST MOST RECENT FIRST)
V—LARGEST JOB
EVER CONTRACTED
(If Other Than in Past Six Years)
$ LARGEST JOB IN PAST 6 YRS Contract Amount: Date:
Description:
Owner:
$ Contract Amount: Date:
Description:
Owner:
Avg. Annual Income
VI—TYPE OF WORK IN WHICH FIRM SPECIALIZES
NAME AND POSITION/TITLE OF PERSON SIGNING SIGNATURE
��See attachment for explanations or detailed description of item(s) reported above.
Tab 7 of the Price Proposal: Pre-Award Survey Information
CONSTRUCTION CONTRACTOR DATA – SCHEDULE A – EXISTING COMMITMENTS
List below the construction projects your firm currently has under way, including recent awards. Also list construction projects for which your firm is the apparent successful offeror/bidder, but for which a contract has not yet been awarded.
CONTRACT
NUMBER
AMOUNT
DESCRIPITION /
LOCATION
ORGANIZATION /
CONTACT PERSON /
PHONE NUMBER
PERCENT
COMPLETE
CONSTRUCTION CONTRACTOR DATA – SCHEDULE B – COMPLETED PROJECTS
List below the principal construction projects your firm has completed within the past six years, including all DoD contracts with a total value exceeding $4,500,000.00.
NUMBER
AMOUNT
DESCRIPTION /
LOCATION
ORGANIZATION /
CONTACT PERSON /
PHONE NUMBER
PERCENT
SUBLET
CONSTRUCTION CONTRACTOR DATA – SCHEDULE C – CONSTRUCTION AND/OR TECHNICAL
EQUIPMENT
List total equipment and facilities owned for performing the prospective contract and present status as to whether or not it is currently committed to existing contracts.
QUANTITY
DESCRIPTION
CONDITION
YEARS OF
SERVICE
PRESENT
STATUS
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