Capability_Statement.pdf

MSAB Runway Repair, Azraq, Jordan Capability Statement

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:

Name: (Insert Name) Telephone: (Insert Telephone Number) Email: (Insert Email Address)

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 perform and provide a Surety Performance Bond and Payment Bonds for any single contract is (Insert maximum capacity, in dollars, per task/delivery order annually).

2. Our firm has performed work in Jordan:

Yes No

3. Our firm has the necessary documents/permits/certifications required to perform work in Jordan:

Yes No

4. Our firm has constructed the following facility types/projects:

Check All That Apply

Construction Project

All of the below projects

Sewage Treatment Facilities

Roads

Sanitary Sewer Systems

Electrical & Communication Utility Infrastructure

Water Distribution Systems

Fire Water Distribution Systems

5. If awarded a contract, our firm is/ is not capable to perform at least 15% of the cost of the construction and related services.

6. Based on your previous experience, identify the percent work effort you would expect to subcontract.____%

7. Our firm is performing, or has successfully performed construction of facilities and associated services for the following US or Foreign military commands/facilities/projects:

Provide name of project location, type of work performed, role of firm (prime, sub, team member), dollar value of work performed by your firm, percentage of total contract value performed by your firm, and date work was performed. Include no more than two single-spaced, 10 font, 8 1/2" x 11" pages containing this information.

8. Our firm is/ is not experienced in obtaining Defense Base Act (DBA) insurance for our personnel.

SECTION 4. RETURN INSTRUCTIONS

After you have completed all sections of the capability statement, please return the form to SSG Tyson Ornelas, Contract Specialist via email at Tyson.G.Ornelas@usace.army.mil. Your response needs to be received no later than 1600 Eastern Time on 15 November 2017.

Information presented is for market research purposes only.