A.02 Sources Sought Response Form (24-R-1004).docx

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Camp Guernsey Dining Facility IDIQ
Solicitation number
W912L324R1004
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This document is a Sources Sought Response Form for a federal contract opportunity. The opportunity is for a Camp Guernsey Dining Facility IDIQ contract to provide food service for a fully functioning dining facility located at Camp Guernsey, Wyoming. The contract will be awarded by the Department of the Army Wyoming Army National Guard. The NAICS code is 722310 Food Service Contractors. The form requires interested firms to provide company information including business size and socioeconomic status, CAGE code, DUNS number, and certification that the firm is registered in SAM. Incomplete responses or failure to provide required documentation may remove the firm from consideration for a set-aside contract under FAR Part 19.

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NAICS Code: 722310 Food Service Contractors

Interested firms please respond with this information form and the following requested information. Please complete all sections of the document.

1. Company Information.

Company Name:

Company Address as registered in System for Award Management (SAM):

CAGE Code:

DUNS Number:

Socio‐economic status for the listed NAICS code ‐ please check all that apply:

( ) Large business ( ) Small business

( ) Small disadvantaged business ( ) 8(a) program participant

( ) HUB Zone business ( ) Woman‐Owned business

( ) Service‐Disabled Veteran‐Owned Small Business (SDVOSB)

By responding to the Sources Sought Notice, I confirm that my firm is registered in the System for Award Management (SAM) https://www.sam.gov/ with the socio‐economic status identified above and the NAICS code specified in the sources sought notice; or that my firm qualifies and registration under the applicable NAICS code is in process.

Certification:

I understand that incomplete answers in sections or my failure to provide required documentation or failure to sign this certification may remove my firm from the Government’s determination of whether to solicit the referenced project on a set-aside basis in accordance with Part 19 of the Federal Acquisition Regulation.

Name: _______________________________

Title: _______________________________

Signature: _______________________________

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