B08 W9123822R0006 Attachment 05 Pre-Award Survey Dated 20 January 2022.pdf
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- Solicitation number
- W9123822R0006
About this file
This document contains a pre-award survey for a construction contractor and details of a related federal contract opportunity for design-build construction services. The pre-award survey collects information on the contractor's organization, personnel, equipment, financial data, experience, and capabilities. The related federal opportunity is a solicitation from the U.S. Army Corps of Engineers Sacramento District to complete two-phase design-build construction at Hill Air Force Base in Utah to upgrade an existing steam plant. The project scope includes replacing three existing boilers with new dual-fuel boilers, upgrading supporting equipment, and completing seismic retrofitting of existing buildings. The estimated value of construction is between $10 million to $25 million. Interested contractors are responsible for self-identifying on SAM.gov and coordinating with other interested parties, as the agency will not review capabilities statements or coordinate partnering arrangements.
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Attachment 4 Pre-Award Survey
CONSTRUCTION CONTRACTOR
DATA
DATE:
Firm Name and Telephone Number Main Office Address (Street, City, and State)
Branch Offices Services Rendered Construction
Design
Consultant
Organization
Individual Joint Venture
Partnership Corporation
Date Organized Date Incorporated:
State:
Names of Officers and Other Key Personnel
I – PRESENT PAYROLL PERSONNEL (List Number of Each Category Below)
Partners:
Officers: Other Key:
Remainder: Subtotal Permanent:
Maximum Personnel at Any Time: Date: Total:
II—EQUIPMENT OWNED III—FINANCIAL DATA AS OF (DATE):
Present Value ($)
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 $
Pre-Award Survey
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.
The completed Construction Contractor Data Form with Supplemental Schedules A-C (see format which follows). If the offeror is a large multi- segmented business concerns, the data provided on the supplemental schedules may be limited to information that directly pertains to the specific segment of the business concern (e.g., the division, group, unit, etc.) proposed to perform work under the prospective contract with its own work force. If the offer is being submitted by a Joint Venture, submit a separate form for each Joint Venture participant. The offeror may submit pre-award survey information in another format, provided that the information furnished is substantially the same as that which would be furnished on the Construction Contractor Data Form and its supplemental schedules.
Current financial statements. If the financial statement is more than 60 days old, submit a certificate stating that the firm's financial condition is substantially the same, or, if not the same, state the changes that have taken place. If a
Joint Venture, provide this information for each participant in the Joint Venture.
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
DESCRIPTION/
ORGANIZATION/
PERCENT
NUMBER AMOUNT LOCATION CONTACT COMPLETE
PERSON/
PHONE NUMBER
Banking information. Provide letters from banks or other financial institutions with which the contractor conducts business. The letters should contain information about your firm's accounts, loans, lines of credit, etc. The
Government is interested in financial stability, timely payments, the length and nature of the relationship between the firm and the financial institution, and the firm's financial ability to perform the contract. The letters should also provide the name and telephone number of the bank representative the Government may contact. If a Joint Venture, provide this information for each Joint Venture participant.
The Government will treat the pre-award survey information submitted by the offeror as proprietary
CONSTRUCTION CONTRACTOR DATA – SCHEDULE B – COMPLETED PROJECTS
List below the principal construction projects your firm has completed within the past five years, including all DoD contracts.
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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