Sources Sought Response Form.pdf
PDF 199 KB Posted
- Attached to
- Biotinylated RNA-Based Baits - Sources Sought Federal contract opportunity
- Solicitation number
- 12505B25Q0023SS
About this file
This is a Sources Sought Response Form template from the USDA Agricultural Research Service's Midwest Area Administrative Office in Peoria, IL. The form is designed to collect information from potential vendors interested in providing Biotinylated RNA-Based Baits.
The form requires vendors to provide company information including SAM registration status, UEI number, CAGE code, and socio-economic status under NAICS code 541715 (size standard under 1,000 employees). It also collects details about the country of manufacture, requiring vendors to specify if the product is manufactured domestically or internationally. The form includes checkboxes for various small business designations including 8(a), HUBZone, VOSB, SDVOSB, WOSB, and EDWOSB. Vendors must certify their information and capabilities through a signed certification section that confirms their SAM registration status and understanding that incomplete submissions may disqualify them from consideration for future set-aside determinations.
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| File | Type | Posted |
|---|---|---|
| Statement of Work.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
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
( ) Other Than Small Business Concern
( ) 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.
Country of Manufacture Information:
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**):
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:
Contact Information:
Date:
| Sources Sought Title: Biotinylated RNA-Based Baits |
| Sources Sought Number: 12505B25Q0023SS |
| 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: 541715 |
| under: 1,000 Employees |
| Group1: Off |
| Group2: Off |
| Check Box5: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
| Check Box12: Off |
| Check Box13: Off |
| Check Box14: Off |
| Manufacturers Legal Name: |
| Manufacturing Address for domestic products 1: |
| Manufacturing Address for domestic products 2: |
| Manufacturing Address for domestic products 3: |
| Manufacturing Address for domestic products 4: |
| Country of Origin for nondomestic products: |
| Name: |
| Title: |
| Contact Information: |
| Date: |
| Group4: Off |
| Group5: Off |
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