7-SOURCES SOUGHT RESPONSE FORM (1).pdf

1. Contractor Identification

a. Name _________________________________________________________________

b. Address________________________________________________________________

c. City/State_______________________________________________________________

d. CAGE Code/DUNS Number________________________________________________

e. Socioeconomic Program (check all that apply)

Other than Small Business Small Business 8(a) Program HUBZone Service Disabled Veteran Owned Small Business Women Owned Small Business

f. Point of Contact information Name___________________________________________________________ Phone___________________________________________________________ Email____________________________________________________________

2. Experience Relevant to the Requirement (provide a brief capability statement as it pertains to this notice) joe.lindsay@gsa.gov

SOURCES SOUGHT RESPONSE FORM

Response Date November 23, 2020

Send to:niki.mcfarlin@gsa.gov or mailto:james.schwartzi@gsa.gov mailto:james.eckhardt@gsa.gov

3. Bonding Capabilities

a. Individual_______________________________________________________________

b. Aggregate______________________________________________________________

c. Surety Company_________________________________________________________

4. Solicitation Preference (Check all that apply) Unrestricted Total Small Business Partial Set Aside 8(a) Program HUBZone Service Disabled Veteran Owned Small Business Women Owned Small Business