Attachment 4 Pre-Award Survey.pdf
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- Solicitation number
- W91238-21-R-0069
About this file
This document contains a pre-award survey for a construction contractor and details of a federal contract opportunity for construction work at Beale Air Force Base in California. The pre-award survey requests information on the contractor's organization, personnel, equipment, financial data, experience on past construction projects, type of work specialized in, and existing commitments. The federal contract opportunity is solicitation number W91238-21-R-0069 for a project consisting of construction of a new 10,000 barrel jet fuel tank, a transfer pump house, two tank truck off-loading stations, and modifications to an existing truck fill stand at Beale AFB. The estimated value of the contract is between $10-25 million. The site visit for interested offerors is scheduled for July 7, 2021 from 1-3pm. The contract is being awarded by the Department of the Army Corps of Engineers Sacramento District.
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Text version
W9123821R0069
Tab E PRE-AWARD SURVEY INFORMATION
CONSTRUCTION CONTRACTOR DATA DATE:
Firm Name and Telephone Number Main Office Address (Street, City, and State)
Branch Offices Services Rendered
(a) Construction _
(b) Design _
(c) Consultant _
Organization _Individual _ Joint Venture Partnership Corporation
Date Organized Date Incorporated:
State:
Names of Officers and Other Key Personnel
I – PRESENT PAYROLL PERSONNEL (List Number of Each Category Below) Partners:
Officers:
Other Key:
Remainder: Subtotal Permanent:
Maximum Personnel at Any Time:
Date:
Total:
II—EQUIPMENT OWNED III—FINANCIAL DATA AS OF
(DATE): Present Value ($) 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.
l2ctbvs9 Cross-Out
CONSTRUCTION CONTRACTOR DATA – SCHEDULE A – EXISTING COMMITMENTS
List below the construction projects your firm currently has under way between $10M and $25M. 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
CONTRACT
AMOUNT
DESCRIPTION/
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.
CONTRACT
NUMBER
CONTRACT
AMOUNT
DESCRIPTION/
LOCATION
ORGANIZATION/
CONTACT
PERSON/ PHONE
NUMBER
PERCENT
SUBCONTR
ACTED
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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