Task Order Management System
 
Subcontractor Questionnaire
Basic Company Information
Company Name:
Parent Company (If applicable):
Type of Company:
# of Employees:
Years in Business:
Doing Business As (DBA, if applicable):
Main Phone:
Main Fax:
DUNS # (Required):
Tax ID (Send IRS Form W-9 w/Certification Form):
Physical Address
Address:
City:
State
Zip:
 
Mailing Address
Address:
City:
State:
Zip:
Primary POC
Name:
Title:
Phone:
Cell:
Email:
 
Estimating POC
Name:
Title:
Phone:
Cell:
Email:
Federal Business Classification Types (Check all that Apply):
Performance
Has your company ever been debarred from being awarded federal or federally assisted contracts?:
Has your company failed to complete or been terminated on any contracts / work awarded to you?:
    Previous Year Two years Ago Three years ago
From your OSHA 300 A Forms = Provide the EMR for the
Current Year and Last Three (3) Calendar Years:
Current
Experience Modification Rate for Each Year (EMR):
Insurance / Bonding
Click Here to see "Sample" for general requirements.
Can your firm meet the requirements?
If no, please explain in a separate letter and email to vendors@jjwws.com
Is Company Bondable:
Bonding Capacity: Total: $ Per Job: $
NAICS Code(s) (http://census.gov/eos/www/naics):
NAICS Code(s):
Divisions of Work Performed (Select all that apply) (2004 edition)
Divisions of Work Performed
Please check each Division of Work that this Contractor is able to perform.
Procurement & Contracting Requirements
0000
General Requirements
1000
Procedures & Paperwork - General Requirements, Price and Payment Procedures, Administrative Requirements, Quality Requirements, Temporary Facilites and Controls, Products Requirements, Execution and Closeout Requirements, Performance Requirements, Life Cycle Activities.
Existing Conditions
2000
Surveys, Environmental Assessments, Existing Material Assessments, Hazardous Material Assessment, Subsurface Investigation, Demolition and Structure Moving, Site Remediation, Contaminated Site Material Removal, Water Remediation, Facility Remediation.
Concrete
3000
Structural Concrete Formwork Concrete Reinforcement Concrete Accessories Cast-in-Place Concrete Precast Concrete Cementitious Decks & Toppings Grout Concrete Restoration & Cleaning Concrete Equipment (See 32000-Exterior Improvements for curbs, gutters, sidewalks, and driveways, parking bumpers and speed bumps)
Masonry
4000
Mortar & Masonry Grout Masonry Accessories Unit Masonry Masonry Subcontract Stone Masonry Restoration & Cleaning Refractories Simulated Masonry Archtectural Cast Stone
Metals
5000
Structural Steel Misc Metals Metal Joists Metal Decking Cold Formed Metal Framing Metal Fabrications Ornamental Metal Expansion Control
Wood, Plastics & Composites
6000
Fasteners/Adhesives Rough Carpentry Heavy Timber Construction Prefabricated Structural Wood Glue Laminated Beams Prefabricated Wood Trusses Finish Carpentry/Millwork Wood Treatment Architectural Woodwork Structural Plastics Plastic Fabrications
Thermal & Moisture Protection
7000
Waterproofing Dampproofing Water Repellents Air Barriers Insulation Exterior Finish & Insulation Systems Fireproofing Firestopping Exterior Wall Assemblies Roofing & Sheetmetal Traffic Coatings Flashing & Misc Sheet Metal Roof Specialties & Accessories Skylights Sealants & Caulking Membrane Roofing
Openings
8000
All Doors, door frames, window and window frames, skylights, louvers and vents as well as associated hardware, glazing, etc.
Finishes
9000
Plaster and Gypsum Board, Tiling, Ceilings, Flooring, Wall Finishes, Acoustic Treatment, Painting and Coating, Including Maintenance of Finishes. (All interior)
Specialities
10000
Visual Display Boards, display cases, directories, signage, information kiosks, compartments and cubicles, partitions, service walls, wall and door protection (bumpers), fireplaces and stoves, emergency access & info cabinets, emergency aid specialties, lockers, postal specialties, storage assemblies, closets, exterior protection (shutters, storm panels), protective covers, flagpoles, gilles and screeens.
Equipment
11000
Maintenance Equipment Security & Vault Equipment Teller & Service Equipment Ecclesiastical Equipment Library Equipment Theater & Stage Equipment Commercial Laundry Equipment Audio-Visual Equipment Loading Dock Equipment Detention Equipment Food Service Equipment Unit Kitchens Darkroom Equipment Athletic Equipment Lab Equipment Office Equipment Medical Equipment
Furnishings
12000
Art, window treatments, specialty casework, furnishings & accessories, multiple seating, wall decorations, sculptures, interior shutters, table accessories, portable lamps, bath linens, bed linens, speciality furniture, etc.
Special Construction
13000
Transition Space, Special Purpose Rooms, Pre-Engineered Structures, Aquatic Facilities, Utility Control Systems, Building Automation Systems, Special Security Construction
Conveying Equipment
14000
Dumbwaiters Elevators Escalators & Moving Walks Lifts Material Handling Systems Hoists & Cranes
Fire Suppression
21000
Water-based, extinguishing and suppression. Includes equipment (sprinklers, hoses, valves, extinguishing systems, etc), installation, instrumentation, fire suppression water storage tanks and control.
Plumbing
22000
Piping for facility water distrubution, potable-water storage tanks, sanitary sewerage, storm drain, general service compressed-air systems, plumbing equipment (water softeners, water filtration, water heaters, water heat exchangers, plumbing fixtures (sinks, bathtubs, showers, etc.) , water pipe insulation, self-contained eyewash equipment, pool piping, fountain piping, vacuum systems for laboratory and healthcare facilities, gas systems for laboratory and healthcare, chemical waste systems for laboratory and health care facilities.
Heating, Ventilating & Air Conditioning
23000
HVAC Systems, HVAC insulation including ducts and equipment insulation, commissioning, instrumentation and control, fuel systems, HVAC piping and pumps, HVAC equipment, boilers, furnaces, etc.
Integrated Automation
25000
Network equipment instrumentation and terminal devices (Facility Equip, Conveying Equip, Fire-Suppression Systems, Plumbing Systems, HVAC, Power Systems, ), panels, monitoring and control units.
Electrical
26000
Communications
27000
Data, voice and audio-video. Includes O&M of Systems, Services, cabling, connecting cords, devices and adapters, equipment and hardware, programming and integration, monitoring systems.
Electronic Safety & Security
28000
Electronic Access Control and Intrusion, Fire Detection and Alarm, Monitoring Control, radiation, gas, fuel-oil, refrigerant detection (includes maintenance, schedules, installation, surveillance, detection and alarm, monitoring)
Earthwork
31000
Soils, aggregates, pile load, site work, including mitigation, grading, excavation, soil treatment, stabilization, shoring and underpinning, special foundations, etc.
Exterior Improvements
32000
Bases, ballasts and paving, base courses, flexible paving, aggregate surfacing, curbs, gutters, sidewalks, and driveways, parking bumpers and speed bumps, fences and gates, retaining walls, sound barriers, metal bollards, wetlands, irrigation, landscaping, turf and grasses, plants, edging, timbers, etc.
Utilities
33000
Water utilities - piping, equipment, disinfecting of water storage tanks. Wells - supply wells, test wells, extraction wells, monitoring wells, etc. Sewer utilities - piping, pumpstations, low pressure sewerage, sanitary force mains, septic tanks, structures, etc. Storm Drain Utilities - piping, culverts, storm water drains, drainange pumps, ponds and reservoirs, storm drainage structures, etc. Fuel Distribution Facilities (Natural-gas, Liquid Gas). Hydronic and Steam Energy Utilities. Electric Utilities - Transmission and distribution, substations, transformers, switchgear & protection devices, site grounding, etc. Communication Utilities - structures, distribution, wireless, etc.
Transportation
34000
Roadways, railways, airports, airfields, bridges. Transportation Signaling and control equipment.
Waterway & Marine Construction
35000
Waterway and marine signaling and control equipment, wateway and marine construction equipment, coastal construction, levees, waterway banks, waterway structures, offshore platforms, dams
Process Integration
40000
Gas and vapor process piping, liquids process piping, solid and mixed materials piping and chutes, process piping and equipment protection, insulation and commissioning.
Material Processing & Handling Equipment
41000
Bulk material processing equip, piece material handling equip (crains, hoists, etc) Manufacturing equip, Container processing and packaging, material storage equip, mobile plant equip
Process Heating, Cooling & Drying Equipment
42000
Process Boilers, Heaters, Industrial Furnaces, Ovens, Process Cooling Equipment Towers, Chillers and Coolers, Condensers & Evaporators, Gas dryers and Dehumidifiers.
Process Gas & Liquid Handling, Purfication & Storage Equipment
43000
Gas Handling Equipments including Gas Fans, Blowers, Pumps and Boosters; Liquid Handling Equipment Including Pumps, Equipment and Filters. Gas and Liquid Purfication Equipment; Gas and Liquid Storage Tanks.
Pollution Control Equipment
44000
Air Polution Control Equipment including Particulate Control and Gaseous Air Pollution. Noise Pollution Control, Odor Treatment Equipment and Odor Dispersing and Masking Equipment; Solid Wate Control and Reuse Equipment; Waste Thermal Processing Equipment.
Industry-Specific Manufacturing Equipment
45000
Operation & Maintenance as well as Commissioning of Industry-Specifc Manufacting Equipment
Electrical Power Generation
48000
Power Generation Equipment such as power plant boilers, power plant condensers, power plant steam turbines, power plant generators,
O&M Facility Maintenance
50000
COMMISSIONING
CX
HVAC Commissioning 23000
Obsolete
99000
General Contractor - Turnkey
GC
Available Regions/Locations (Select all the locations willing to travel for projects):
Regions
Please check each region that this contractor is able to perform work in. By checking this region this contractor is willing to perform work in the entire region.
Asia
Japan, Korea, Thailand
Included States:
N/A
ENGS Beidleman
ENGS Beau Beidleman
Included States:
HI
ENGS Coats
ENGS Mark Coats
Included States:
Germany , N/A
ENGS Hohl
ENGS Cliff Hohl
Included States:
AK , CA , WA
ENGS Morgan
ENGS Mark Morgan
Included States:
N/A
ENGS Polanco
ENGS Damian Polanco
Included States:
TX
ENGS Turnipseed
ENGS Andrew Turnipseed
Included States:
AK , CO , GA , MA , MD , NY , OK , VA
Europe
Europe
Included States:
Germany
GP
Great Plains Region Medical Command
Included States:
AZ , CO , LA , NV , OK , SD , TX , UT , WY
NRMC
North Atlantic Region Medical Command
Included States:
DC , MD , NC , NJ , NY , PA , VA
PRMC
Pacific Region Medical Command
Included States:
HI , N/A
SRMC
Southeast Region Medical Command
Included States:
AK , AL , FL , GA , IL , KS , KY , MD , MO , SC , TX
VARIOUS
Included States:
N/A
WRMC
Western Region Medical Command
Included States:
AK , AZ , CA , ID , MT , NE , NM , WA , WY
Specific Locations
Please check each specific location this contractor can perform work in. If a region is selected, this step can be skipped.
AFB, Eielson
Eielson AFB, AK
Eielson, AK USA (USA)
AFB, Elmendorf
Medical Center
Elmendorf AFB, AK USA (USA)
AFB, Maxwell
AFB, Maxwell
Montgomery, AK USA (USA)
Ft. Greely
Bassett Army Community Hospital
Ft. Greely, AK USA (USA)
Ft. Novosel (Ft. Rucker)
Fort Novasel, formerly known as Fort Rucker.
Ft. Rucker, AK USA (USA)
Ft. Richardson
Ft. Richardson, AK USA (USA)
Ft. Wainwright
Bassett Army Community Hospital
Ft. Wainwright, AK USA (USA)
JBER
Joint Base Elmendorf-Richardson
Anchorage, AK USA (USA)
Redstone Arsenal
Fox Army Health Center
Redstone Arsenal, AL USA (USA)
VA - Fayetteville
Veterans Administration Center
Fayetteville, AR USA (USA)
AFB, Luke
Luke AFB, AZ
Phoenix, AZ USA (USA)
Ft. Huachuca
Ft. HuRaymond W. Bliss Army Health Center
Ft. Huachuca, AZ USA (USA)
Yuma MCAS
Yuma MCAS, AZ
Yuma, AZ USA (USA)
Yuma Proving Ground
Renew Health Clinic, Bldg 990
Yuma, AZ USA (USA)
AFB, Beale
9th Medical Group
Beale AFB, CA USA (USA)
AFB, Travis
David Grant Medical Center
Travis AFB, CA USA (USA)
AFB, Vandenberg
30th Medical Group
Vandenberg AFB, CA USA (USA)
AFS, Los Angeles
Los Angeles AFS, CA USA (USA)
Camp Pendleton
Camp Pendleton
San Diego, CA USA (USA)
China Lake
China Lanke
China Lake, CA USA (USA)
El Cajon
El Cajon Armory
El Cajon, CA USA (USA)
Ft. Irwin
Weed Army Community Hospital
Ft. Irwin, CA USA (USA)
Ft. Ord
Ft. Ord, CA USA (USA)
Glendale
Glendale Armory
Glendale, CA USA (USA)
Lemoore Naval Hospital
Lemoore Naval Hospital
Lemoore, CA USA (USA)
MCB Camp Pendleton
Camp Pendelton, CA USA (USA)
Miramar
Training Facility
San Diego, CA USA (USA)
NAS, El Centro
Naval Air Station
El Centro, CA USA (USA)
NAS, San Diego
Naval Hospital
San Diego, CA USA (USA)
Naval Medical Center San Diego
Naval Medical Center San Diego
San Diego, CA USA (USA)
Naval Station Point Loma CA
Point Loma Naval Station, San Diego, CA (Sub Base)
San Diego, CA USA (USA)
Oroville
Oroville Armory
Oroville, CA USA (USA)
Presidio of Monterey
Presidio of Monterey
Presidio of Monterey, CA USA (USA)
Sierra Army Depot
Sierra Army Depot Occupational Health Clinic
Herlong, CA USA (USA)
Twentynine
Twentynine Palms, CA 92278
Twentynine Palms, CA USA (USA)
Camilo Osias Naval Base (NBCO)
Sta. Ana, CAG Philippines (Philippines)
AFB, Peterson
Peterson AFB, CO
Peterson AFB, CO USA (USA)
Ft. Carson
Evans Army Community Hospital
Ft. Carson, CO USA (USA)
Groton
Naval Undersea Medical Institute
Groton, CT USA (USA)
AFIP, Washington
Armed Forces Institute of Pathology
Washington, DC USA (USA)
Washington, DC
Washington, DC, DC USA (USA)
WRAMC, Washington
Walter Reed Army Medical Center
Washington, DC USA (USA)
AFB, Dover
Anything on Dover AFB
Dover AFB, DE USA (USA)
AFB, Eglin
Eglin Air Force Base
Eglin, FL USA (USA)
AFB, MacDill
6th Medical Group
Tampa, FL USA (USA)
AFB, Patrick
Patrick Air Force Base
Patrick, FL USA (USA)
AFB, Tyndall FL
325th Medical Group Tyndall AFB, FL
Tyndall, FL USA (USA)
NAS, Jacksonville
Naval Air Station, Jacksonville FL
Jcksonville, FL USA (USA)
NAS, Pensacola
Naval Air Station
Pensacola, FL USA (USA)
Ft. Gordon
Dwight D. Eisenhower Army Medical Center
Ft. Gordon, GA USA (USA)
Ft. McPherson
Lawrence Joel Army Health Clinic
Atlanta, GA USA (USA)
Ft. Moore (Ft. Benning)
Fort Moore (formerly Fort Benning)
Fort Moore, GA USA (USA)
Ft. Stewart
Winn Army Community Hospital
Ft. Stewart, GA USA (USA)
Germany
EUROPE DISTRICT
All, Germany Europe (Europe)
Landstuhl Regional Medical Center
Landstuhl, Germany USA (USA)
Ft. Shafter
Ft Shafter, HI
Honolulu, HI USA (USA)
JBPHH
Joint Base Pearl Harbor Hickam
Hickam, HI USA (USA)
Schofield Barracks
Schofield Barracks
Honolulu, HI USA (USA)
Tripler AMC
Tripler Army Medical Center
Tripler AMC, HI USA (USA)
AFB, Mountain Home
366th Medical Group
Mountain Home AFB, ID USA (USA)
AFB, Scott IL
Scott AFB
Scott AFB, IL USA (USA)
VA - Hines
Hines, IL USA (USA)
Ft. Leavenworth
Munson Army Health Center
Fort Leavenworth, KS USA (USA)
Ft. Riley
Irwin Army Community Hospital
Ft. Riley, KS USA (USA)
Ft. Campbell
Blanchfield Army Community Hospital
Ft. Campbell, KY, KY USA (USA)
Ft. Knox
Ireland Army Community Hospital
Ft. Knox, KY USA (USA)
Richmond
Richmond, KY USA (USA)
Ft. Polk
Bayne Jones Army Community Hospital
Ft. Polk, LA USA (USA)
VA - New Orleans
New Orleans, LA USA (USA)
Natick
USARIEM
Natick, MA USA (USA)
Aberdeen Proving Ground (APG)
USACHPPM
Aberdeen Proving Ground, MD USA (USA)
AFB, Andrews
Andrews AFB
Andrews AFB, MD USA (USA)
Forest Glen
Silver Springs, MD USA (USA)
Ft. Detrick
Fort Detrick
Ft. Detrick, MD USA (USA)
Ft. Meade
Kimrough Ambulatory Care Center
New Market, MD USA (USA)
NSA, Bethesda
Military Medical Center
Bethesda, MD USA (USA)
Patuxent River
Training Facility
Patuxent River, MD USA (USA)
US Army Corps of Engineers Baltimore District
USACE District Baltimore
Baltimore, MD USA (USA)
WRAIR, Washington
Walter Reed Army Institute of Research
Silver Springs, MD USA (USA)
Ft. Leonard Wood
General Leonard Wood Army Community Hospital
Ft. Leonard Wood, MO USA (USA)
AB Moron, Spain
Moron AB, Spain
Seville, N/A Europe (Europe)
AFB, Osan
Osan AFB, Korea
AFB, Osan, N/A Korea (Korea)
Camp Butler Japan
Marine Corps Base
Okinawa, N/A Japan (Japan)
Camp Hovey-Korea
Yongsan, N/A Korea (Korea)
Camp Zama Japan
Camp Zama Japan
Camp Zama, N/A Japan (Japan)
Diego Garcia
British Indian Ocean Territory
Mauritius, N/A British Indian Ocean Territory (BIOT)
Japan
Japan, N/A Japan (Japan)
Thailand
Bangkok, N/A USA (USA)
Camp Lejeune
Jacksonville, NC USA (USA)
Ft. Liberty (Ft. Bragg)
Fort Liberty (formerly Fort Bragg)
Ft. Bragg, NC USA (USA)
NAS, Sunny Point
Sunny Point, NC USA (USA)
AFB, Offutt
55th Medical Support Squadron, SGSL
Bellevue, NE USA (USA)
AFB, McGuire
McGuire AFB, Clinic
McGuire AFB, NJ USA (USA)
Ft. Dix
Keller Army Hospital
Ft. Dix, NJ USA (USA)
Ft. Dix-JBMDL
Joint Base McGuire Dix Lakehurst
JBMDL, NJ USA (USA)
Ft. Monmouth
Ft. Monmouth, NJ USA (USA)
AFB, Cannon
Cannon AFB, New Mexico
Cannon AFB, NM USA (USA)
AFB, Nellis
99th Medical Group
Nellis, NV USA (USA)
Ft. Drum
Guthrie Medical Department Acitivity
Ft. Drum, NY USA (USA)
West Point
West Point
West Point, NY USA (USA)
AFB, Wright-Patterson
AFB, Wright-Patterson, OH USA (USA)
AFB, Tinker
72nd Medical Group
Tinker AFB, OK USA (USA)
AFB, Vance
71st Medical Group Vance AFB, OK
Vance AFB, OK USA (USA)
Ft. Sill
Reynolds Army Community Hospital
Ft. Sill, OK USA (USA)
Tulsa District
., OK USA (USA)
VA - Muskogee
Muskogee, OK USA (USA)
VA - Oklahoma City
Veterans Administration Medical Center
Oklahoma City, OK USA (USA)
Carlisle Barracks
US Army Garrison, Carlisle Barracks
Carlisle, PA USA (USA)
New Cumberland
New Cumberland, PA USA (USA)
Poland
MATOC
Poznan & Powidz, Poland Europe (Europe)
NAS, Newport
Newport, RI USA (USA)
Ft. Jackson
Moncrief Army Community Hospital
Ft. Jackson, SC USA (USA)
AFB, Goodfellow
Goodfellow, AFB, TX USA (USA)
AFB, Lackland
Lackland Medical Center Campus MTF's
San Antonio, TX USA (USA)
AFB, Randolph
Randolph Air Force Base
Randolph AFB, TX USA (USA)
Army-All Bases
Army MATOC NewBizOp
Austin, TX USA (USA)
Camp Mabry
Army Reserve
Camp Mabry, TX USA (USA)
Ft. Bliss
William Beaumont Medical Center
El Paso, TX USA (USA)
Ft. Cavazos (Ft. Hood)
Fort Cavazos (formerly Fort Hood)
Ft. Hood, TX USA (USA)
Ft. Sam Houston
Brooke Army Medical Center
San Antonio, TX USA (USA)
Houston, TX
Houston, TX USA (USA)
Huntsville
Houston, TX USA (USA)
NAS, Corpus Christi
Naval Air Station
Corpus Christi, TX USA (USA)
Red River Army Depot
Red River Army Depot
Red River Army Depot, TX USA (USA)
VA - San Antonio
VA - San Antonio, TX USA (USA)
Various
Various(bizdevop_multi_location)
Austin, TX USA (USA)
AFB, Hill
75th Medical Group
Hill AFB, UT USA (USA)
Dugway Proving Ground
Dugway Proving Ground, UT USA (USA)
AFB, Langley
Langley AFB, VA 633rd Medical Group
Langley AFB, VA USA (USA)
Arlington, VA
Arlington, VA USA (USA)
Ft. AP Hill
Lois E Wells Clinic
Ft. AP Hill, VA USA (USA)
Ft. Belvoir
DeWitt Army Community Hospital
Ft. Belvoir, VA USA (USA)
Ft. Eustis
Army Community Hospital
Ft. Eustis, VA USA (USA)
Ft. Lee
Kenner Army Health Clinic
Ft. Lee, VA USA (USA)
Ft. Myer
Ft. Myer, VA RACC
Ft. Myer, VA USA (USA)
JBLE
Joint Base Langley Eustis
Ft Eustis, VA USA (USA)
NAS, Portsmouth
Portsmouth, VA USA (USA)
NAS, Virginia Beach
Virginia Beach, VA USA (USA)
NS Norfolk
Naval Station Norfolk
Norfolk, VA USA (USA)
NWS Yorktown
Naval Weapons Station Yorktown
Yorktown, VA USA (USA)
AFB, McChord
AFB, McChord, WA USA (USA)
DO NOT USE - Ft. Lewis
Madigan Army Medical Center
Tacoma, WA USA (USA)
Ft. Lewis Joint Base Lewis McChord
The entire Ft Lewis\McChord Air Force Base Complex
Ft Lewis, WA USA (USA)
NAS, Whidbey Island
Whidbey Island
Oak Harbor, WA USA (USA)
Naval Hospital Bremerton
Naval Hospital
Bremerton, WA USA (USA)
NS, Everett
Naval Station
., WA USA (USA)
Whidbey Island
Training Facility
Oak Harbor, WA USA (USA)
Other Locations
Explain any additional details about what locations are available to be worked at.
Specialties and number of years performed
Explain any specialties and number of years of experience
Submit Subcontractor Information

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