Sources Sought Response Form.pdf

PDF 160 KB Posted

Attached to
Tilt Pan Scanner with Mirrors System - Sources Sought Federal contract opportunity
Solicitation number
12505B24Q0219SS
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Midwest Area

About this file

This document is a Sources Sought notice issued by the United States Department of Agriculture Agricultural Research Service (USDA-ARS) for a Tilt Pan Scanner with Mirrors system that can be used with a GasFinder3-OP NH3 laser. The USDA-ARS is conducting market research to determine if there are a sufficient number of qualified small businesses, disadvantaged small businesses, 8(a) program participants, HUBZone businesses, veteran-owned small businesses, service-disabled veteran-owned small businesses, women-owned small businesses, and/or economically-disadvantaged women-owned small businesses interested in and capable of providing the required product. Responses to this notice will assist the government in deciding whether to set aside any future solicitation for small businesses or proceed with an unrestricted competition or sole-source award. Interested vendors must be registered in the System for Award Management (SAM) and provide a capabilities statement as well as a completed sources sought response form by June 24, 2024. The applicable NAICS code is 334513 with a size standard of 750 employees. The government will not provide any reimbursement for costs associated with responding to this notice, nor will it notify respondents of the results.

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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

SOURCES SOUGHT RESPONSE FORM

Interested vendors please respond with the following information form. Please be certain to complete all sections of the document.

Sources Sought Title: ____________________

Sources Sought Number: _________________

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

( ) SBA-certified 8(a) Program Participant

( ) Veteran Owned

( ) Woman-Owned

( ) Large Business

( ) Disadvantaged

( ) SBA-certified HUB Zone Business

( ) Service-Disabled Veteran Owned

( ) Economically Disadvantaged Woman Owned

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

[ ] I confirm that my company is registered in the System for Award Management (SAM) with the socio-economic status identified above for the NAICS code specified or that my company qualifies for the selected socio-economic status under the specified NAICS code and registration under the applicable NAICS code is in progress.

Certification:

I understand that incomplete sections, failure to provide all required documentation, and/or failure to sign this certification may remove my company from the Government’s determination of whether to solicit the referenced project on a set-aside basis in accordance with Part 19 of the Federal Acquisition Regulation.

Signature:

Name:

Title:

Date:

Sources Sought Title: Tilt Pan Scanner with Mirrors System - Sources Sought
Sources Sought Number: 12505B24Q0219SS
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 1:
Company Address as registered in the System for Award Management SAM 2:
Company Address as registered in the System for Award Management SAM 3:
Company Address as registered in the System for Award Management SAM 4:
CAGE Codes:
Socioeconomic status for the NAICS code: 334513
under: 750 employees
Name:
Title:
Date:
Group1: Off
Group2: Off
Check Box5: Off
Group3: Off
Check Box9: Off
Check Box10: Off
Check Box11: Off
Check Box12: Off
Check Box13: Off
Check Box14: Off

File details come from the government source that posted it. Updated .