PAS Pre-Award Survey.pdf
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- Attached to
- Multipurpose Academic Building Science Facility Phase 2, which is located at the USMA West Point NY
- Solicitation number
- W912DS-11-B-0005
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PSA- Pre Award Survey
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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.
E3CT9JLP
Typewritten Text
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 bidder/bidder, but for which a contract has not yet been awarded.
CONTRACT
NUMBER
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 with a total value exceeding $20,000,000.00__.
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
| CONSTRUCTION CONTRACTOR DATA: |
| DATE: |
| Firm Name and Telephone Number: |
| Main Office Address Street City and State: |
| Branch Offices: |
| Services Rendered Construction Design Consultant: |
| Date Organized: |
| Date Incorporated State: |
| Names of Officers and Other Key Personnel: |
| Partners Officers Other Key: |
| Remainder: |
| Total: |
| Subtotal Permanent Maximum Personnel at Any Time Date: |
| IIEQUIPMENT OWNED: |
| IIIFINANCIAL DATA AS OF DATE: |
| Present Value: |
| Current Assets: |
| Acquisition Cost: |
| Current Liabilities: |
| Net Worth: |
| fill_22: |
| fill_24: |
| fill_26: |
| fill_27: |
| fill_28: |
| fill_29: |
| Contract Amount Date Description Owner: |
| Contract Amount Date Description Owner_2: |
| VITYPE OF WORK IN WHICH FIRM SPECIALIZESRow1: |
| NAME AND POSITIONTITLE OF PERSON SIGNING: |
| SIGNATURE: |
| See attachment for explanations or detailed description of items reported above: |
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