75A50122Q00016 Attachment 1.docx

Attachment 1 75A50122Q00016 On-Site Scanning (Digitizing), Storage and Destruction Services

Company Name: _________________________________________________________________ Unique Entity Identification (UEI) (formerly DUNS number): ______________________________ POC: _________________________________________ POC Phone: ______________________ POC Email: ______________________________________________________________________

1. Please indicate the size status and representations of your business (check all that apply):

|_| Service-Disabled Veteran Owned Small Business (SDVOSB) |_| Veteran Owned Small Business (VOSB) |_| Woman Owned Small Business (WOSB) |_| 8(a) Small Business Concern |_| Historically Underutilized Business Zone (HUBZone) Small Business |_| Woman Owned Small Business (WOSB) |_| Economically Disadvantaged Woman Owned Small Business (EDWOSB) |_| Small Disadvantaged Business |_| Small Business |_| Large Business

2. Is your company capable of providing all the requested services?

|_| Yes

3. Does your company have a FSS Contract with GSA or any other federal contract that can be used to procure the required services?

4. Please submit a capabilities statement (no longer than 2 pages) to show clear, compelling and convincing evidence of your ability to perform the requirement.

5. For the proposed work, what is your standard pricing method inclusive of all necessary costs? (select all that apply):

|_| Per page |_| By weight |_| Labor Contract (please include in the comment area what positions would be typical) |_| Other: __________________________________________

Comment: