Attachment 3 - Response Form.pdf

PDF 85 KB Posted

Attached to
Crane Inspection Services IDIQ Federal contract opportunity
Solicitation number
FA461325Q1012
Issued by
Department of the Air Force Global Strike Command

About this file

This is a Contractor Response Form template for Sources Sought/Request for Information notice FA461325Q1012 for Crane Inspection IDIQ services at F.E. Warren Air Force Base. The form requests basic company information including name, CAGE number, Unique Entity ID, socioeconomic status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone), and point of contact details.

The form includes a certification question regarding whether the company received 80% or more of its annual gross revenues from federal contracts/grants and $25M or more in federal revenues in the preceding fiscal year, which determines applicability of FAR 52.204-10 compliance requirements. This appears to be a standard response template that would be completed by interested vendors as part of their response to the sources sought notice for the crane inspection services requirement.

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Text version

Contractor Response Form

Sources Sought / Request for Information Notice Number: FA461325Q1012 Description: Crane Inspection IDIQ

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:

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 .