Sources Sought Response Form beta 2 day.docx

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Elevator Maintenance Services at the North Federal Center in Chicago, IL
Solicitation number
4740
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SOURCES SOUGHT RESPONSE FORM

Elevator Maintenance Services – North Federal Center, Chicago, IL

COMPANY NAME:

DUNS NUMBER:

CONTACT PERSON

NAME:

PHONE #:

EMAIL:

What is the ultimate contract expiration date (including all possible option periods) of your current contract(s)? ________________

Do you hold a continuous contract or are you in the process of receiving a continuous contract? YES NO If YES, what is the ultimate expiration date? ________________________

Is your company a large or small business under NAICS Code 238290? LARGE SMALL If SMALL, please Circle Yes Or No for ALL of the following:

· Does your firm qualify as a small, emerging business or small disadvantaged business?YES NO
· Is your firm certified under Section 8(a) of the Small Business Act?YES NO
· Is your firm an Economically Disadvantaged Woman Owned Small Business?YES NO
· Is your firm a certified Hubzone firm?YESNO
· Is your firm woman-owned business?YES NO
· Is your firm a certified Service-Disabled Veteran Owned Small business?YES NO
· Is your firm a Veteran Owned Small Business?YESNO

Do you intend to bid on a subsequent solicitation for this requirement (if released)? YES NO

If you believe your company qualifies to provide elevator maintenance services, please complete the information below for at least 3 contracts. This information should be submitted to felicia.tuck@gsa.gov no later than January 30, 2020 at 3 PM Eastern Time. All information submitted is subject to verification and additional information may be requested to substantiate the responses.

PROJECT 1

Contract No:

Contract Performance Period:

Customer Name:

Customer Phone #:

Customer E-mail Address:

Did you serve as Prime Contractor/Vendor:

Location: (BLDG/CITY/STATE)

Building Size (SF & # of Floors):

Building Tenant(s):

Any specific contract details you’d like to note:

PROJECT 2

Contract No:

Contract Performance Period:

Customer Name:

Customer Phone #:

Customer E-mail Address:

Did you serve as Prime Contractor/Vendor:

Location: (BLDG/CITY/STATE)

Building Size (SF & # of Floors):

Building Tenant(s):

Any project complexities that you’d like to note:

PROJECT 3

Contract No:

Contract Performance Period:

Customer Name:

Customer Phone #:

Customer E-mail Address:

Did you serve as Prime Contractor/Vendor:

Location: (BLDG/CITY/STATE)

Building Size (SF & # of Floors):

Building Tenant(s):

Any project complexities that you’d like to note:

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