Environmental Manager Sources Sought Form.docx

Sources Sought Information Request Form

Project Name: Environmental Manager, 173d Fighter Wing, Klamath Falls, Oregon

Brief Description: The contractor shall provide all personnel, equipment, tools, materials, supervision, and other items to perform budget consultant and analysis services to assist the 173d Civil Engineering Squadron at Kingsley Field ANGB, Klamath Falls, OR.

NAICS Code: 541620

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: ________________________________

2. Socio-economic status for the listed NAICS code - please check all that apply:

( ) Large business ( ) Small business

( ) Small disadvantaged business ( ) 8(a) program participant

( ) HUBZone 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 firm qualifies and registration is in process

( ) My firm is not registered in SAM for the identified NAICS code.

3. Examples of similar work: Provide a maximum of two (2) projects completed within the last three years that are similar in nature to the work being referenced to. Include the following information:

Type of project Dollar value of the project Contract number (if applicable) Location of the work Reference Brief description (1-2 paragraphs)

Identify if the project was performed for a government or private entity. Indicate if your firm was a prime contractor or subcontractor. If you firm was a subcontractor, provide the percentage of work that was awarded and completed on the project by your firm. Please keep this documentation to 1 page per project.

4. Resources: Provide a brief outline of resources, subcontractors, and key personnel to include credentials of personnel that your firm would use to complete this project. Please keep this documentation to 1 page.

Please e-mail the completed form and attachments to christin.davila@us.af.mil. Submission of this form and attachments will not qualify your firm for the referenced project. The Information being requested and received is strictly for the purposes of market research and intended for Government use only. THIS IS NOT A REQUEST FOR PROPOSAL. NO SOLICITATION, PLANS OR SPECIFICATIONS ARE AVAILABLE FOR THIS PROJECT AT THIS TIME. THERE WILL BE NO “SUCCESSFUL OFFEROR” AS A RESULT OF THE RECEIPT OF THIS INFORMATION.