B.01_Capability Statement.docx

CAPABILITY STATEMENT

Solicitation No. W912ER26RAXXX Task Force Safety Assessments of Fire and Electricity / Unified Facilities Criteria Assessment (TF SAFE/UFC)

SECTION 1. GENERAL:

1. Business Name: (Insert Business Name)

2. Business Address: (Insert Business Address)

3. Unique Entity ID: (Insert Unique Entity ID)

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

5. JCCS ID Number: (Insert JCCS ID Number)

6. Responsible Point of Contact:

7. 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.

|_| Large Business

SECTION 2. CONTRACTOR ARRANGEMENT:

Our firm would propose on this project as a:

|_| Sole contractor |_| Joint venture with (Insert business name, business size, and Unique Entity ID)

[See FAR subpart 9.6 for the 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. Our firm is registered in the System for Award Management (SAM) as a U.S entity/firm:

|_| Yes |_| No

2. Our firm can provide technical services including but not limited to inspections, assessments, repairs, testing, reports, and training for facilities and operations-related projects for various sites throughout the Central Command Area of Responsibility (CENTCOM AOR):

|_| Yes |_| No

3. Our firm has performed work in the CENTCOM AOR:

|_| Yes |_| No

4. Our firm is capable of providing sufficient staffing necessary to perform electrical assessment and repair services at various locations throughout the CENTCOM AOR simultaneously for the 5-year ordering period:

|_| Yes |_| No

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

6. Our firm is able to obtain base access to multiple U.S. Army installations throughout the CENTCOM AOR.

|_| Yes |_| No

7. Our firm has past performance/experience providing electrical assessment and repair services in the CENTCOM AOR.

|_| Yes |_| No

8. Our firm can apply the standards of the UFC for the services and requirements within the PWS.

|_| Yes |_| No

SECTION 4. PROJECT EXPERIENCE:

Complete the sheet below titled “Project Experience Template” for no more than three (3) projects you have electrical assessment and repair services similar to the requirements in the Performance Work Statement (PWS). Provide information in sufficient detail regarding previous experience (indicate whether as a prime contractor or subcontractor) on similar requirements (include size, scope, complexity, timeframe, etc.) that will facilitate in making a capability determination.

CAPABILITY STATEMENT

Solicitation No. W912ER26RA012 Task Force Safety Assessments of Fire and Electricity / Unified Facilities Criteria Assessment (TF SAFE/UFC)

PROJECT EXPERIENCE TEMPLATE

SIMILAR SIZE AND SCOPE PROJECTS

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

Project Title:

Location:

Address of work site:

Contract number:

Task order number:

To

Procuring activity:

Procurement point of contact:

Phone:

Non-Government

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: