Atch 3 Contractor Response Form.pdf

This is a Contractor Response Form for a Sources Sought/Request for Information regarding a Sewer Camera System (Trailer). The form is a template designed to collect company information and capabilities from potential contractors interested in this procurement opportunity.

The form requires respondents to provide standard company registration details including name as registered in SAM.gov, doing business as name (if applicable), NAICS code confirmation (541513), mailing address, CAGE number, and Unique Entity ID. Respondents must also select their socioeconomic status from available categories (Small Business, Service-Disabled Veteran-Owned Small Business, Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, Veteran-Owned Small Business, Service-Disabled Veteran-Owned Small Business, 8(a), 8(a) Joint Venture, or HUBZone). The form requests point of contact information including name, email, and phone number, and requires selection of security clearance level. A critical question asks whether the organization can fulfill the requirements within the applicable performance work statement, requiring a yes/no selection. The form includes a substantial space for respondents to describe relevant past experience from within the past five years that demonstrates fulfillment of same or similar requirements. The form does not specify response deadlines, award dates, pricing information, or specific technical requirements for the sewer camera system.