Attachment 1 - Contractor Response Form.pdf
PDF 82 KB Posted
- Attached to
- PKB Enterprise Land Mobile Radio (ELMR) Propagation Coverage Survey (Service) (Sources Sought / RFI)
- Solicitation number
- FA461326Q1028
About this file
This is a Contractor Response Form for a Sources Sought/Request for Information (RFI) notice issued by the federal government for PKB Enterprise Land Mobile Radio (ELMR) Propagation Coverage Survey services.
The notice ID is FA461326Q1028. Respondents must provide company information including their SAM.gov registration name, doing business as name (if applicable), CAGE number, Unique Entity ID, mailing address, socioeconomic status (small business, service-disabled veteran-owned, 8(a), HUBZone, or other designated categories), and primary point of contact with email and phone number. Contractors must confirm their registration status with the System for Award Management (SAM) at the time of response submission and indicate whether they received 80 percent or more of annual gross revenues from federal sources with at least $25,000,000 in federal funding in the preceding fiscal year, as this determines compliance requirements under FAR 4.1402 and FAR 52.204-10. The form itself is a template designed to collect company capability and eligibility information from potential contractors interested in providing propagation coverage survey services for the PKB Enterprise Land Mobile Radio system.
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Text version
Attachment 1 – Contractor Response Form
FA461326Q1028
Notice ID: FA461326Q1028
Description: PKB Enterprise Land Mobile Radio (ELMR)
Propagation Coverage Survey (Sources Sought/RFI)
Company Information
Company Name (as registered in SAM.gov):
Company Doing Business As (if applicable):
Cage Number: Unique Entity ID:
Mailing Address:
Socioeconomic Status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone):
Point of Contact:
Email: Phone Number:
Sources Sought Response Date:
Registered with System for Award Management (SAM) at the time of submission of response:
YES NO
In the preceding fiscal year, did your company receive 80 percent or more of its annual gross revenues from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance; and did $25,000,000 or more in annual gross revenues come from Federal contracts (and subcontracts), loans, grants (and subgrants), cooperative agreements, and other forms of Federal financial assistance:
YES If Yes, compliance IAW FAR 4.1402 applies.
NO If No, then the requirements of FAR 52.204-10 do not apply.
File details come from the government source that posted it. Updated .