Attachment A Sources Sought Information and Capabilities.docx

Attachment A

Response Form to Sources Sought Notice

Sources Sought Information and Capabilities for Automatic Transfer Switch Repair Part Kits

Please fully complete each section of the form below.

Company Name: _____________________________________________________________ Company Address: ___________________________________________________________ UEI(SAM) Number: ___________________________________________________________ Point of Contact: ____________________________________________________________ Phone Number: _____________________________________________________________ Email Address: _____________________________________________________________

(1) Is your company considered small under the NAICS code?

(2) Are you the manufacturer or distributor? What is the manufacturing country of origin of these items?

(3) If you’re a small business and you are an authorized distributor/reseller for the items identified above (or equivalent product/solution), do you alter; assemble; modify; the items requested in any way? If you do, state how and what is altered; assembled; modified?

(4) Does your company have an FSS contract with GSA or the NAC or are you a contract holder with NASA SEWP or any other federal contract (e-CAT, etc)? If so, please provide the contract type and number.

(5) If you are an FSS GSA/NAC, e-CAT or NASA SEWP contract holder or other federal contract holder, are all the referenced items/solutions available on your schedule/contract and what is the contract number?