Attachment1.pdf

Market Survey for Sources Sought Notice

Reference: W912PF-18-R-0014

MATOC for DB and DBB Construction

414th CSB RCO LIVORNO-SUB-OFFICE

Interested sources will complete this survey in full and return with email per the sources sought notice published to FBO.gov.

1. Contractor Information.

Name of Company: ____________________

Name of Point of Contact: ____________________

Address: _________________________

Phone number: ____________________

Email address: ____________________

CAGE Code / DUNS Number: ____________________

2. Recent Construction Experience.

Please place an “X” next to the appropriate status.

___ Experience performing construction projects as prime contractor for project(s) values above €150,000 within the last 5 years.

___ Experience performing construction projects as prime contractor for project(s) values above €500,000 within the last 5 years.

___ Experience performing construction projects as prime contractor for project(s) values above €1,000,000 within the last 5 years.

___ None of the above.

3. Recent Design Experience.

Please place an “X” next to the appropriate status that best describes your experience.

___ As a prime contractor, experience performing construction projects involving design with architect-engineer services (in house or subcontractor) for project(s) values above €150,000 within the last 5 years.

___ Experience performing construction projects involving design with architect-engineer services as prime contractor (may subcontract) for project(s) values above €500,000 within the last 5 years.

___ Experience performing construction projects involving design with architect-engineer services as prime contractor (may subcontract) for project(s) values above €1,000,000 within the last 5 years.

___ None of the above.

4. Recent Government Contractor Experience.

Please answer:

Yes ___ or No ___: Were the projects referred to in questions 4 and 5 performed for the U.S.

Government on a military installation?

If “Yes”, what location? ___ Camp Darby, ___ Caserma Ederle (Vicenza) ___ Aviano ______Napoli____ or Other (please indicate): __________