Contractor Information Form

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

For N4008526R0036

$60M DB DBB MINOR CONSTRUCTION MACC NAVAL SUPPORT ACTIVITY CRANE

Use this form to provide contractor’s general information. Please limit response to one page. The box at the bottom of this form may be used to clarify any requested information. Contractor Information:

DUNS:

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CAGE Code:

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Firm Name:

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Address:

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Name of POC for firm:

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Phone Number of POC:

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Email of POC:

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Type of Business: (check all that apply)
FORMCHECKBOX SBA certified 8(a) firm
FORMCHECKBOX SBA certified HUBZone Small Business
FORMCHECKBOX Service-Disabled Veteran-Owned Small Business FORMCHECKBOX Small Business
FORMCHECKBOX Economically Disadvantaged Women-Owned Small Business

Bonding Capacity:
Surety Name:

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Maximum bonding capacity per project:

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Aggregate maximum bonding capacity:

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This space may be used to provide any additional information to clarify the above items only:

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Please DO NOT change content of the form