Sources Sought Information Form

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:

Is your firm registered in the System for Award Management (SAM) at https://www.sam.gov? FORMCHECKBOX Yes FORMCHECKBOX No. If not registered, you are advised that SAM registrations are taking much longer for approval. All prospective offerors, including Joint Ventures, are highly encouraged to start SAM registration.

Type of Business: (Check all which apply)

FORMCHECKBOX SBA Certified 8(a) Firm FORMCHECKBOX SBA Certified HUBZone

FORMCHECKBOX Service-Disabled Veteran-Owned Small Business FORMCHECKBOX Small Business

Bonding Capacity:

Locations:

Identify if your firm is willing and capable to work at various government installations located in Washington, Oregon, Idaho, Montana, Alaska, Iowa, Minnesota, North Dakota, South Dakota, Nebraska and Wyoming. However, it is anticipated that most projects will be performed in Washington State.

FORMCHECKBOX Yes FORMCHECKBOX No

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

Use this form (one per project) to provide supporting information that demonstrates project experience relevant to the subject announcement. Submit three (3) projects minimum, but no more than five (5). Please limit responses to two pages per project.

Project No. (check one): FORMCHECKBOX - 1 FORMCHECKBOX - 2 FORMCHECKBOX - 3 FORMCHECKBOX - 4 FORMCHECKBOX - 5

This is the FORMCHECKBOX total project FORMCHECKBOX subcontract price.

Type of Work:

FORMCHECKBOX New Construction
FORMCHECKBOX Renovation
FORMCHECKBOX Alteration

FORMCHECKBOX Repair

FORMCHECKBOX Other (explain):

Were you the Prime Contractor for this project? FORMCHECKBOX Yes FORMCHECKBOX No

Were you a Subcontractor for this project? FORMCHECKBOX Yes FORMCHECKBOX No

Type of Contract: (Check all that apply)

FORMCHECKBOX Design-Build (DB)
FORMCHECKBOX Design-Bid-Build (DBB)
FORMCHECKBOX Performance Work Statement (PWS)

FORMCHECKBOX Other (explain):

Describe the project’s key elements that demonstrate your firm’s experience with the type of work specified in the sources sought (NAICS):

Provide a detailed description of the work your firm self-performed on this project: