Attachment A 2024 AE SUBMITTAL COVER SHEET.pdf

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3e. Unique Identification Number :

3f. Taypayer ID Number : -

3G. Socio-Economic program certifications (list all eligible programs for which the firm is certified).

Attachment A - A&E Submittal Cover Sheet

Please fill out form completely.

1. Sources Sought : 12445124R0001

3a. Name of Architect-Engineer :

3b. Telephone No. (Pls Include Area Code) :

3c. Address of Architect-Engineer (Include Zip) :

3d. Email Address/Company Website :

2. Date of Request : 03/01/24

4. Department/Agency; Address; Email for Package Returns:

USDA FOREST SERVICE, SOUTHERN RESEARCH STATION

1700 BYPASS ROAD WINCHESTER, KY 40391

All packages to be emailed to the following (paper will not accepted):

Subject Line: 12445124R0001_Company Name_SF330_Submittal

To: Cynthia.granderson@usda.gov cc: Steven.alves@usda.gov

FS Use Only :

[ ] Alabama [ ] Mississippi [ ] Texas [ ] Alaska [ ] Nebraska [ ] Virginia [ ] Arkansas [ ] North Carolina [ ] Washington State [ ] Florida [ ] Oklahoma [ ] Puerto Rico [ ] Georgia [ ] Oregon [ ] U.S. Virgin Islands [ ] Kentucky [ ] South Carolina [ ] Louisiana [ ] Tennessee

6. Future Contracts will be for A&E Services, including the following NAICS :

[ ] 541410 Interior Design Services $9.0 [ ] 541690 Other Scientific and Technical Consulting Services $19.0

Offeror's SAM record must reflect all NAICS codes that are checked.

Check to indicate applicable codes for which you are requesting consideration :

Check all States for which you are requesting consideration :

12445124R0001

Future projects may be located in the states/territories listed below:

Attachment A - A&E Submittal Cover Sheet

Please continue filling out form completely.

5. Project Locations :

NACIS; Description; Small Business Size Std in millions

541310 Architectural Services $12.5 541320 Landscape Architectural Services $9.0 541330 Engineering Services $25.5 541340 Drafting Services $9.0 541350 Building Inspection Services $11.5 541360 Geophysical Surveying and Mapping Services $28.5 541370 Surveying and Mapping (except Geophysical) $19.0 541380 Testing Laboratories $19.0

541620 Environmental Consulting Services $19.0

FS Use Only :

Sources Sought :Firm Name: