Attachment 3 - Contractor Response Form.pdf

PDF 3 MB Posted

Attached to
SOURCES SOUGHT - Sewer Camera System (Trailer)
Solicitation number
FA461325Q1030
Issued by

About this file

This document is a Contractor Response Form for a Sources Sought / Request for Information (RFI) with Notice Number FA461325Q1030 for a Sewer Camera System (Trailer). The form is designed for potential contractors to provide company information, including details such as company name, SAM.gov registration, NAICS code, mailing address, CAGE number, socioeconomic status, point of contact, and security clearance. The form requires contractors to indicate whether they can fulfill the requirements within the applicable performance work statement and to provide relevant past experience from within the last 5 years of work that has similar requirements.

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Contractor Response Form

Sources Sought / Request for Information Notice Number: FA461325Q1030

Description: Sewer Camera System (Trailer)

Company Information

Company Name (as registered in SAM.gov):

Company Doing Business As (if applicable):

Registered in SAM under NAICS 541513:

Mailing Address:

Cage Number: Unique Entity ID

Socioeconomic Status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone):

Point of Contact:

Phone number:Email:

Security Clearance:

Can your organization fulfill the requirements within the applicable performance work statement?

Include relevant past experience from within the past 5 years of work that has fulfilled requirements of the same or similar nature.

Text1:
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Dropdown6: [SELECT ONE]
Text7:
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Dropdown11: [SELECT ONE ]
Dropdown12: [SELECT ONE ]
Dropdown9: [SELECT ONE]
Text11:

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