Attch 4 - Response Form.pdf

PDF 939 KB Posted

Attached to
BPA Latrine & Pumping Federal contract opportunity
Solicitation number
FA461325Q0009
Issued by
Department of the Air Force Global Strike Command

About this file

This is a Contractor Response Form (Attachment 8) for solicitation FA461325Q0009 for BPA Latrine & Pumping Services at F.E. Warren Air Force Base. The form requires offerors to provide company information including SAM.gov registration details, NAICS 562991 registration status, mailing address, CAGE number, Unique Entity ID, socioeconomic status (SB, SDB, WOSB, EDWOSB, VOSB, SDVOSB, 8(a), 8(a) JV, HUBZone), point of contact information, and period of performance.

The form also includes a mandatory disclosure question regarding whether the company received 80% or more of its annual gross revenues from federal contracts/grants and $25M or more in annual gross revenues from federal sources in the preceding fiscal year. If yes, compliance with FAR 4.1402 applies. This response form is part of a total small business set-aside solicitation issued by the Department of the Air Force Global Strike Command.

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Text version

Contractor Response Form

Offeror Quote Response Form Notice Number: FA461325Q0009

Description: BPA Latrine & Pumping Sercices

Company Information

Company Name (as registered in SAM.gov):

Company Doing Business As (if applicable):

Registered in SAM under NAICS 562991: Yes or No

Mailing Address:

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:

Period of Performance:

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.

Attachment 8 - Response Form

FA461325Q0009

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