Attachment 4 - Response Form.pdf

3 MB Posted

Attached to
CCTV Sewer Camera Inspection Trailer Upgrade
Solicitation number
FA461325Q1030
Issued by

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Written by GovTribe AI ·

This document is a Contractor Response Form for a Combined Synopsis/Solicitation with Notice Number FA461325Q1030, seeking a CCTV Sewer Camera Inspection Trailer Upgrade. The form requires potential contractors to provide comprehensive company information, including company name, NAICS code (811210), mailing address, CAGE number, Unique Entity ID, and socioeconomic status. Contractors must indicate their ability to fulfill the requirements within the applicable performance work statement and include relevant past experience from the past 5 years that demonstrates similar work capabilities. The form is designed for companies to respond to a federal solicitation for upgrading sewer camera inspection equipment, with fields for contact information and a section to detail previous relevant project experience.

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Other files

File Type Posted
Attachment 7 - Government Furnished Property .pdf PDF
Attachment 2 - Provisions and Clauses (Amended).pdf PDF
Attachment 3 - Supplemental Clauses.pdf PDF
Attachment 2 - Provisions and Clauses.pdf PDF
Attachment 6 - Wage Determination 7_2025.pdf PDF
Attachment 1 - Sewer Camera System (Trailer) Performance Work Statement.pdf PDF
Attachment 5 - Trailer Pictures.pdf PDF

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Contractor Response Form

Combined Synopsis/Solicitation Notice Number: FA461325Q1030

Description: CCTV Sewer Camera Inspection Trailer Upgrade

Company Information

Company Name (as registered in SAM.gov):

Company Doing Business As (if applicable):

Registered in SAM under NAICS 811210:

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:

Place of Manufacturer

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:
Text2:
Text3:
Text4:
Text5:
Dropdown6: [SELECT ONE]
Text7:
Text8:
Text10:
Dropdown12: [SELECT ONE ]
Dropdown9: [SELECT ONE]
Text11:
Text6:

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