A23_Capability_Statement_W912ER-16-R-0029_P-970_Triton_Operational_Facilities_UAE.docx

SECTION 1. GENERAL

1. Business Name: (Insert Business Name)

2. Business Address: (Insert Business Address)

3. Cage Code: (Insert Cage Code)

4. NAICS Codes: (Insert all applicable NAICS Codes)

5. Responsible Point of Contact:

6. Check All That Apply: Our firm is:

|_| Small business |_| 8(a) small business |_| Veteran-owned small business |_| Service-disabled veteran-owned small business |_| HUBZone small business |_| Small disadvantaged business |_| Women-owned small business concern.

|_| None of the above.

SECTION 2. CONTRACTOR ARRANGEMENT

1. Our firm will be proposing on this project as a:

|_| Sole contractor |_| Prime contractor performing at least 50% of the work with subcontractor(s) |_| Prime contractor performing at least 50% of the work with the following team member subcontractor(s) (Insert business name, business size, cage code, and work which will be subcontracted) |_| Joint venture with (Insert business name, business size, and cage code).

(See FAR subpart 9.6 for Government policy on teaming arrangements, as well as 8(a) Program regulations described in 13 CFR 124.513, HUBZone Program regulations described in 13 CFR 126.616, and Service-Disabled Veteran-Owned Program regulations described in FAR 19.1403 (c) and 13 CFR 125.15(b). )

SECTION 3. CAPABILITY

1. If awarded a contract, the maximum capacity our firm can adequately provide Performance and Payment Bonds in accordance with FAR Clause 52.228-15, Defense Base Act (DBA) Insurance and SPOT requirement.

BONDING CAPACITY

Type:

2. If solicited, our firm is capable of providing Bid Guarantee in accordance with FAR Clause 52.228-1.

|_| Yes |_| Capable |_| No

3. Our firm has necessary United Arab Emirates (UAE) business license requirement(s) and ability to obtain the necessary badging at Al Dhafra Air Base, UAE.

4. Our firm is capable of handling numerous Design and Construction contracts simultaneously at |_|1, |_|2-5, |_|6-10, |_|11-15, |_|16-20, geographically diverse locations.

5. Our firm has performed work in the following locations:

|_| UAE |_| CENTCOM AOR

6. Our firm has designed and constructed the following facility types/projects:

Check All That Apply

Design & Construction Projects

7. Our firm |_| does/ |_| does not have the above capabilities, qualifications, AND EXPERIENCE to perform design build (D-B) projects in an overseas environment, to include DESIGN & CONSTRUCTION MANAGEMENT, LOGISTICAL SUPPORT for personnel, materials and equipment, in areas, including subcontractors and suppliers.

8. If awarded a contract, our firm |_| is/ |_| is not financially capable to perform the cost of the construction and related services.

9. Based on our previous experience, identify the percent work effort would expect to subcontract. (Insert the percentage)

10. Our firm is performing, |_| is/ |_| is not successfully performed construction of facilities and associated services for the following U.S. or Foreign military commands / facilities / projects in UAE or CENTCOM AOR.

CAPABILITY STATEMENT

W912ER-16-R-0029

P-960 Triton Operational Facilities

DESIGN AND CONSTRUCTION OF SIMILAR SIZE SCOPE PROJECTS

PROJECT EXPERIENCE TEMPLATE

(Make additional copies as needed but not more than five pages)

Project Title:

Location:

Address of work site:

Contract number:

Task order number:

To

Procuring activity:

Procurement point of contact:

Phone:

State Govt

Municipality

Private

Other (describe)

Subcontractor

Other (describe)

General description of work:

Describe your specific duties/roles, being sure to list relevant criteria associate with this project in relation to those described in the market research; notice:

MINIMUM ONE OR MAXIMUM FIVE PROJECT EXPERIENCE ARE ALLOWED FOR SUBMISSION