B1 Sources Sought Template Form.docx
DOCX document 13 KB Posted
- Attached to
- Inspection, Testing, and Minor Maintenance of Electrical Distribution System & Grounding
- Solicitation number
- W50S8H-21-Q-0003
About this file
This document contains a sources sought template form and related federal contract opportunity notice. The sources sought template form requests information from interested firms to provide inspection, testing, and minor maintenance services for electrical distribution systems and grounding at Niagara Falls Air Reserve Station in New York. Firms are asked to provide company information, socioeconomic status, System for Award Management registration details, and references for similar work. The federal contract opportunity notice further describes this as an annual service to inspect, test, and perform minor maintenance on seven lightning protection systems and the electrical distribution system. Interested parties are requested to respond to the sources sought information request form by April 9, 2021 to express interest in a potential follow-on solicitation. The opportunity is designated for small businesses including HUBZone, small disadvantaged, 8(a), women-owned, and service-disabled veteran-owned small businesses.
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Other files
| File | Type | Posted |
|---|---|---|
| A2 PWS RVKQ 21-2331 - Elect Distro Grounding.docx | DOCX document |
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Text version
Sources Sought Information Request Form ‐ Page 1 of 2 Electrical Distribution System & Grounding Sources Sought
NAICS Code: 238290 Interested firms please respond with this information form and the following requested information. Please complete all sections of the document.
1. Company Information Company name: ______________________________________________________________________ Company Address as registered in System for Award Management (SAM):
( ) I have confirmed that my address listed above is exactly the same as listed in (SAM) ( ) The above address is not the same in (SAM), but registration is being corrected to the above listed address DUNS Number: ______________________________
CAGE CODE: _______________________________
Socio‐economic status for the listed NAICS code ‐ please check all that apply:
| ( ) Large business | ( ) Small business | |
| ( ) Small disadvantaged business | ( ) 8(a) program participant | |
| ( ) HUB Zone business | ( ) Woman‐Owned business |
( ) Service‐Disabled Veteran‐Owned Small Business (SDVOSB) The firm must be registered in System for Award Management (SAM) https://www.sam.gov/portal/public/SAM/ with the socio‐economic status identified above and the NAICS code specified in the sources sought notice. If the firm’s (SAM) record does not include this project’s NAICS code, the firm will not be considered.
( ) I have confirmed that my firm is registered in SAM for the NAICS code and business type selected ( ) My firm is not registered in SAM with the NAICS code and business status selected, but the firmqualifies and registration is in process ( ) My firm is not registered in SAM for the identified NAICS code Sources Sought Information Request Form ‐ Page 2 of 2 Electrical Distribution System & Grounding Sources Sought
2. Examples of similar work:
( ) I have attached three references for similar work that our firm has performed.
( ) I have not attached three references of similar work that our firm has performed.
Certification:
I understand that incomplete answers in sections or my failure to provide required documentation or failure to sign this certification may remove my firm from consideration for this project sources sought notice.
NAME:________________________________________________
TITLE:_________________________________________________
SIGNATURE:___________________________________________
DATE:_______________
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