Attachment 1 - Offeror Response Form.pdf

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Attached to
PKB SensorOps SynDOJO Training Device
Solicitation number
FA461326Q1045
Issued by

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This is an Offeror Response Form for federal solicitation FA461326Q1045 issued by the Air Force for PKB SensorOps SynDOJO Training Devices. The form is a template requiring contractors to provide company information, including name, Cage Number, Unique Entity ID, mailing address, and socioeconomic status certifications (Small Business, Service-Disabled Veteran-Owned Small Business, Women-Owned Small Business, HUBZone, or 8(a) Program eligibility). Offerors must designate a point of contact with email and phone information, identify the place of manufacture and FOB point, and provide quote details including quote number, validity period, and period of performance.

The form requires offerors to confirm that pricing includes all direct and indirect costs to meet solicitation requirements, verify current System for Award Management (SAM.gov) registration at time of quote submission, and certify federal revenue dependency status. Specifically, contractors must indicate whether they received 80 percent or more of annual gross revenues from federal sources with at least $25,000,000 in federal funding, which determines applicability of compliance requirements under FAR 52.204-10 and DFARS 4.1402. This is a standardized response template with no specified response deadline, award date, or pricing terms indicated in the document itself.

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Attachment 1 – Offeror Response Form

FA461326Q1045

Solicitation Number: FA461326Q1045 Description: PKB SensorOps SynDOJO

Training Devices

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:

FOB Point:

Place of Manufacturer:

Quote Number: Quote Valid Until:

Period of Performance:

Quote Date:

Discount Terms:

Confirm pricing includes all costs, direct and indirect, to complete the requirements in accordance with this solicitation: YES NO

Registered with System for Award Management at the time of submission of quote:

YES NO

In the preceding fiscal year, did your company received 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 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 .