SourcesSought_InfoReqForm_FINAL_11Oct18.docx

SOURCES SOUGHT INFORMATION REQUEST FORM

Project Name: 020143, CONSTRUCT AK USPFO BUILDING AT JBER-RICHARDSON, AK

Payment Bond Required: (X) YES Performance Bond Required: (X) YES

NAICS Code: 236220 Commercial and Institutional Building Construction

Interested firms please respond with this information form below, and the following requested information. Please complete all sections of the document to ensure appropriate market research and determination of companies’ technical capability of business size representation.

1. Company Information:

Company name: Company Address as registered in System for Award Management (SAM):

( ) I have confirmed that my address listed above is exactly the same as listed in (SAM) ( ) The above address is not the same in (SAM), but registration is being corrected to the above listed address

DUNS Number: CAGE Code:

Socio-economic status for the listed NAICS code - please check all that apply:

The firm must be registered in System for Award Management (SAM) https://www.sam.gov/portal/public/SAM/ with the socio-economic status identified above and the NAICS code specified in the sources sought notice. If the firm’s (SAM) record does not include this project’s NAICS code, the firm will not be considered.

2. Bonding Capability:

Individual Project Bonding:

Total Aggregate Bonding Capability:

This response must include a letter from your bonding company confirming this amount to be considered.

3. Attachments:

( ) I have attached a positive statement of intent to bid as a prime contractor ( ) I have completed and signed the Sources Sought Information Request Form ( ) I have provided a listing of projects completed within the last three(3) years for Federal, State, local government or those completed for private commercial industry

· Listing must include the following: the type of project, the total dollar value, the contract number, the location of performance, and the point of contact for owner/client

· Indicate if your firm was a prime or subcontractor during performance of the listed project, and if your firm was a subcontractor provide the name and point of contact information for the prime contract holder

( ) I have provided a brief outline of resources, subcontractors, and key personnel that would be used to accomplish the project.

Certification:

I understand that incomplete answers in sections or my failure to provide required documentation or failure to sign this certification may remove my firm from consideration for this project sources sought notice.

Signature:

Name:

Title:

Phone Number:

Email: