20220505 Sources Sought__DDC Attachment 1.docx

Attachment 1: Company Information

SOURCES SOUGHT SYNOPSIS

1. Name of Company: ______________________________________________________

Parent Company (if different than above): ____________________________________

2. Please provide the following point of contact information:

Name: _________________________________________________________________ Title: __________________________________________________________________ Contact Phone: __________________________________________________________ E-mail Address: _________________________________________________________

3. Primary North American Industry Classification System (NAICS) Code(s): ______

4. Commercial and Government Entity (CAGE) Code: __________________________

5. Indicate the size and preference(se) of your company:

a. Small Business ☐

b. Small, Disadvantaged Business ☐

c. Woman-Owned, Small Business ☐

d. Veteran-Owned, Small Business ☐

e. Service-Disabled, Veteran-Owned, Small Business ☐

f. HUBZone, Small Business ☐ Provide at least one (1) of the following – Your firm’s address, Town, Country, or Congressional District: ______________________________________________

g. Large Business ☐

6. Number of full-time employees: ___________ part-time employees: _____________

7. Annual gross sales/revenue: ______________________________________________

8. Does your company typically compete for contracts as Prime Contractor, Subcontractor, or as part of a Joint Venture? How do you intend to propose on this project?

a. Prime Contractor ☐

b. Subcontractor ☐

c. As part of a Joint Venture ☐

d. Other: ___________________________________________________________

9. All contractors receiving a federal contract award must be registered in the System for Awards Management (SAM) database at the following website: https://www.sam.gov. Is your company currently registered in the SAM database?

Yes ☐ until (date): _______________________________________________________ No ☐

10. Provide the following information concerning your bonding capacity:

Surety’s Name: _________________________________________________________ Maximum Bonding Capacity per Project ($): __________________________________ Aggregate Maximum Bonding Capacity ($):___________________________________