Source Information Sheet_Dental Lab Contract_Charleston VAMC.docx

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Dental Lab Services - Charleston VAMC
Solicitation number
36C24726Q0566
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This is a Source Information Sheet for market research purposes related to a dental laboratory services contract opportunity at the Charleston VA Medical Center. The form requests vendors to provide company identification information including UEI number or CAGE code, business address, contact details, and business size classification options ranging from small business designations (Emerging Small Business, Small Disadvantaged Business, Section 8(a) certified, HubZone, Woman-Owned, Service-Disabled Veteran-Owned, and Veteran-Owned) to Large Business status. The sheet also inquires whether the organization holds an FSS or GSA contract for the requested services and requests the contract number with effective and expiration dates if applicable.

The form requires respondents to answer three critical questions: whether they have previously performed dental laboratory services, whether they are capable of fully meeting the requirements outlined in the draft Statement of Work, and whether they intend to submit an offer for the Dental Lab Services contract. This market research effort is being conducted by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 7 to determine whether a set-aside is in the government's best interest, though completion and return of this form does not guarantee that a solicitation will be issued. Interested vendors must return the completed form to participate in this pre-solicitation phase.

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SOURCE

INFORMATION

SHEET

*Please thoroughly complete the below information as accurately as possible for market research purposes* Complete and return if your organization is capable of providing the requested services without exception

Company Name:

UEI Number or CAGE Code:

Address:

Contact Name:

Phone No:

Email:

Business size information

Select all that applies:

· Small Business

· Emerging Small Business

· Small Disadvantaged Business

· Certified under Section 8(a) of the Small Business Act

· HubZone

· Woman Owned

· Certified Service-Disabled Veteran Owned Small Business (registered in VetBiz.gov)

· Veteran Owned Small Business (registered in VetBiz.gov)

· Large Business

· Other ________________________

FSS/ GSA Contract Holder (for the requested services)
Yes ☐No ☐

FSS/ GSA Contract Number

Effective Date / Expiration Date

Answer the following questions:

1. Have you performed Dental Lab Services before?

2. Are you capable of fully meeting the requirements in the draft Statement of Work?

3. Will you be submitting an offer for Dental Lab Services?

The results of this market research will assist in the determination if a set-aside is in the best interest, but does not guarantee a solicitation at this time.

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