1127347 Supporting and Additional Information.pdf
PDF 158 KB Posted
- Attached to
- Small Autoclave (qty 2)
- Solicitation number
- 12505B24Q0210
About this file
This document is a Supporting Information Form related to a federal contract opportunity for a Small Autoclave (Solicitation # 12505B24Q0210). The solicitation is issued as a 100% Total Small Business Set-Aside under the NAICS code 339113 (Surgical Appliance and Supplies Manufacturing) with a small business size standard of under 800 employees. Quotes must be submitted by 11:00 AM CT on June 25, 2024 and include a completed SF1449, Supporting Information Form, and provision FAR 52.212-3. The solicitation is issued by the U.S. Department of Agriculture Agricultural Research Service Midwest Area. The supporting information form captures the vendor's company details, socio-economic status, product manufacturing information, pricing, and delivery timeline.
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Other files
| File | Type | Posted |
|---|---|---|
| Sol_12505B24Q0210_Amd_0002.pdf | ||
| Sol_12505B24Q0210_Amd_0001.pdf | ||
| Sol_12505B24Q0210.pdf |
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Text version
United States Department of Agriculture
Research, Education, and Economics
Agricultural Research Service
Office of the Director ● Midwest Area Administrative Office Acquisitions & Personal Property/Fleet Team
1815 North University Street ● Peoria, IL 61604 USDA is an Equal Opportunity Provider and Employer
SUPPORTING INFORMATION FORM
Solicitation Title: Small Autoclave
Solicitation Number: 12505B24Q0210
Company Information:
Currently Registered and Active in the System for Award Management (SAM): ( ) Yes ( ) No
SAM Unique Entity Identifier (UEI) Number:
Company Legal Name: _____________________________________________
Doing Business As (if applicable): ____________________________________
Company Address as registered in the System for Award Management (SAM):
CAGE Code(s):
Socio-economic status for the NAICS code: ___________ (with a small business threshold of under ______________) – please check ALL that apply:
( ) Small Business Concern ( ) Disadvantaged
( ) SBA-certified 8(a) Program Participant ( ) SBA-certified HUB Zone Business
( ) Veteran Owned ( ) Service-Disabled Veteran Owned
( ) Woman-Owned ( ) Economically Disadvantaged Woman Owned
( ) Large Business
[ ] I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above and the NAICS code specified or that my firm qualifies for the selected the socio-economic status under the applicable NAICS code.
United States Department of Agriculture
Research, Education, and Economics
Agricultural Research Service
Office of the Director ● Midwest Area Administrative Office Acquisitions & Personal Property/Fleet Team
1815 North University Street ● Peoria, IL 61604 USDA is an Equal Opportunity Provider and Employer
Quote Information:
Quote Number: _________________
Total Quoted Price:
Manufacturer’s Legal Name:
Product is Manufactured in the United States of America (is a domestic product*): ( )Yes ( )No
Manufacturing Address (for domestic products*):
Country of Origin (for nondomestic products**):
Time to Delivery: ( ) days ( ) weeks ( ) months
Quote Date:
Quote Expiration Date:
Certification:
I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company’s quote from being put into consideration by the Government for award.
Signature:
Name:
Title:
Date:
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