Attachment 4 - Contractor Response Form.pdf

PDF 3 MB Posted

Attached to
Combat Arms Inspection and Cleaning Services
Solicitation number
FA461326Q1004
Issued by

About this file

This is a Contractor Response Form for a federal solicitation (Notice Number FA461326Q1004) issued by the Air Force for CATM Inspection and Cleaning Service. The form is a template designed to collect company information and certifications from contractors submitting quotes in response to this combo synopsis/solicitation.

The form requires contractors to provide standard company registration and identification details, including company name as registered in SAM.gov, doing business as name, NAICS code 562910 registration status, mailing address, CAGE number, Unique Entity ID, and socioeconomic status (8(a) and/or 8(a) JV designation). Contractors must also identify a point of contact with email and phone number, designate a contract manager, provide a quote number, and confirm SAM.gov registration status at the time of submission. The pricing structure is firm fixed price, with contractors required to enter the total contract cost. Additionally, contractors must provide a signed statement certifying their comprehension of Attachment 3 (Performance Work Statement) and that their price is firm. The form includes a compliance question regarding whether the company received 80 percent or more of annual gross revenues from federal sources with $25 million or more in federal revenues, which determines applicability of RFO 4.208(e) or RFO 52.204-10 requirements. The form requires contractor signature to authenticate all submitted information.

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Text version

Contractor Response Form

Combo Synopsis/ Solicitation Notice Number: FA461326Q1004

Description: CATM Inspection and Cleaning Service

Company Information

Company Name (as registered in SAM.gov):

Company Doing Business As (if applicable):

Registered in SAM under NAICS 562910:

Mailing Address:

Cage Number: Unique Entity ID

Socioeconomic Status 8(a) and/or 8(a) JV:

Point of Contact:

Phone number:Email:

Total Contract Cost (Firm Fixed Price):

Quote Number:

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

Identify Contract Manager

Please enter your statement of understanding of Attachment 3 - Performance Work Statement.

(Ex. I, (insert name), certify that (insert company's name), fully comprehends the Performance Work Statement and certifies that our price is firm.)

Contractor Signature

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:

If Yes, compliance IAW RFO 4.208(e) applies.

If No, then the requirements of RFO 52.204-10 do not apply

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