36C26320Q0427-001.docx

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H370--Air Testing and Balancing Service
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36C26320Q0427
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36C26320Q0427 Response Form to Sources Sought Email Flooring Contractors.docx

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Sources Sought Information and Capabilities for Air Testing and Balancing

Please fully complete each section of the form below.

Company Name: _____________________________________________________________ Company Address: ___________________________________________________________ DUNS Number: _____________________________________________________________ Point of Contact: ____________________________________________________________ Phone Number: _____________________________________________________________ Email Address: _____________________________________________________________

Socio-economic Classification in Accordance with NAICS code 238220 Plumbing, Heating, and Air-Conditioning Contractors (check all that apply) ☐ Small Business ☐ Service Disabled Veteran Owned Small Business (SDVOSB) ☐ Verified SDVOSB by www.vip.vetbiz.gov ☐ Veteran Owned Small Business (VOSB) ☐ Verified VOSB by www.vip.vetbiz.gov ☐ Small Disadvantage Business ☐ Women-owned Small Business ☐ Economically Disadvantaged Small Business ☐ HUBZone ☐ 8(a) Certified ☐ Other: _________________________________________________

Detailed Information:

1. What percentage of the contracted services can your company complete as the prime contractor? ______________%

2. What percentage of the contracted services would your company subcontract? ______________%

3. Please attach your Company’s Capability Statement for Plumbing, Heating, and Air-Conditioning.

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