Attachment 3 - Response Form.pdf
PDF 116 KB Posted
- Solicitation number
- FA461326Q1023
About this file
This is a Contractor Response Form for a Sources Sought/Request for Information solicitation issued by the Air Force (Notice Number FA461326Q1023) for a PKB Catholic Religious Education Coordinator position. The form is a template designed to collect company and personnel information from potential contractors interested in responding to this opportunity.
The form requires contractors to provide standard company information including SAM.gov registration details, CAGE number, Unique Entity ID, socioeconomic status classification, and primary point of contact information. Respondents must indicate how quickly they can fill the position once awarded and confirm whether they received technical evaluation factors per FAR 52.212-2, included the required Attachment 5 Pricing Sheet, and can pass a Line of Sight background check. Additionally, contractors must acknowledge understanding that a Chapel Privileged Communication Non-Disclosure Agreement will be required immediately following contract award. The form includes a compliance question regarding federal revenue thresholds, requiring contractors to identify 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 IAW 4.1402 compliance requirements or FAR 52.204-10 exemptions.
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Text version
Contractor Response Form
Sources Sought / Request for Information
Notice Number: FA461326Q1023
Description: PKB Catholic Religious Education Coordinator
Company Information
Company Name (as registered in SAM.gov):
Company Doing Business As (if applicable):
Cage Number: Unique Entity ID
Socioeconomic Status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone):
Point of Contact:
Email: Phone number:
FOB: Destination
How quickly can you fill the position once awarded? ______________
Were technical evaluation factors provided IAW Combo Catholic Religious Education Coordinator FAR
52.212-2 Evaluation – Commercial Items (Nov 2021) section (a)(i)? Yes No
Was Attachment 5 – Pricing Sheet included with your offer? Yes No
Can the member pass a Line of Sight (LoS) background check? Yes No
Do you understand that a CHAPEL PRIVILEGED COMMUNICATION NON-DISCLOSURE
AGREEMENT will need to be complete immediately following contract award? 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.
Mark ONE:
Yes
If yes, compliance IAW 4.1402 applies
No
If no, then the requirements of FAR 52.204-10 do not apply
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| Check Box5: Off |
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File details come from the government source that posted it. Updated .