Contractor Info Sheet Template.docx

DOCX document 30 KB Posted

Attached to
US Mission Libreville Local Guard Program Federal contract opportunity
Solicitation number
PR12713120
Issued by
Department of State Office of Acquisition Management

About this file

This document appears to be a Contractor/Vendor Information Sheet related to a federal contract opportunity. The key details are:

The Department of State is conducting market research to determine interest and capability of small businesses to provide local guard services at the U.S. Embassy in Libreville, Gabon. The primary mission is to provide protection for U.S. personnel, facilities, and equipment. Interested parties must submit their capabilities by September 25, 2024 at 1:00 PM EST and complete the attached Contractor Information Sheet. The Information Sheet requests details on the vendor's legal business name, tax ID, DUNS number, contact information, business size and status, socio-economic status, and their ability to comply with host country laws and regulations related to the guard services requirement. The NAICS code for these services is 561612. At this time, the Department of State does not guarantee any future contracts will be awarded as a result of this sources sought notice.

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Text version

Contractor/Vendor Information Sheet

Please fill in all information below, type or print information clearly. Please complete the following questions and return to Brian Averhart (averhartb@state.gov) by 25 September 2024 @13:00EST.

Legal Business Name:

Tax ID No: DUNS No:

Mailing Address:

City, State, Zip Code:

Country:

Toll Free Number: Website Address:

Point of Contact:

Phone Number: Fax:

E-mail Address:

SBU - CONTRACTING AND ACQUISITIONS

SBU - CONTRACTING AND ACQUISITIONS

SBU - CONTRACTING AND ACQUISITIONS

Country of Origin U.S. Firm ___ Foreign Vendor ___ Country: ___________

Size of Business:

Large ___ Small ___

Corporate Status:

Corporation ___ S-Corporation ___ Sole Proprietorship ___ Partnership ___ Other: _______________

Type of Ownership:

Woman ___ Veteran-owned___ (Service-disabled ____) Minority___ None of the Above ___ Other: _________________

Socio-Economic Status:

8(a) Status ___ HUBZone___ Disadvantaged____ None of the Above ___ Other:_________________

Registered in SAM: Yes No _

DCAA-approved accounting practices: Yes No _

Do you currently do business in Gabon? Yes____ No____

Have you performed guard services under NAICS code 561612? Yes____ No____

Can you obtain a security license in Gabon under your legal business name or a wholly owned subsidiary of your business? Yes____ No____

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