Fill-in.pdf
PDF 453 KB Posted
- Solicitation number
- QSE--36C78624Q50184
About this file
This document is a fill-in form related to a federal contract opportunity for water treatment services at the Jacksonville VA National Cemetery. The key details are:
The Department of Veterans Affairs, National Cemetery Administration (NCA) is conducting market research for vendors capable of providing water treatment services at the Jacksonville VA National Cemetery. Interested vendors should complete the attached form and provide a capability statement and past performance by April 4, 2024 at 10:00 a.m. EST. The required services include preventive maintenance, water testing, and water monitoring and analysis on the cemetery's portable water treatment system. The contractor must provide a Class "C" Certified Operator licensed in Florida to service and maintain the Category III water treatment plant. Specific maintenance, testing, and reporting requirements are outlined. Vendors should indicate if they are a small business, HUBZone, woman-owned, veteran-owned, or other business type, and if they hold an FSS/GSA contract. Subcontracting is also addressed.
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| File | Type | Posted |
|---|---|---|
| Source Sought Notice(2).pdf |
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Text version
In response to this announcement, please complete the information below and return to Charnell.Cunningham@va.gov by April 4, 2024 at 10:00 a.m. EST.
Company Name:
Address:
Contact Name:
Phone No:
Email:
Cage Code and/or SAM Unique ID:
Business size information Select all that applies:
☐ Small Business ☐ Emerging Small Business ☐ Small Disadvantaged Business ☐ Certified under Section 8(a) of the Small Business Act ☐ HubZone ☐ Woman Owned ☐ Certified Service-Disabled Veteran Owned Small in Vetbiz.gov ☐ Certified Veteran Owned Small Business in Vetbiz.gov ☐ Large Business ☐ Other:
FSS/ GSA Contract Holder Yes ☐ No ☐ FSS/ GSA Contract Number Effective Date / Expiration Date
Identify any other companies owned (wholly or in-part) by the owners of this business who provide goods or services under the same or a related NAICS codes.
Not applicable ☐ Comment:
Identify any other companies owned (wholly or in-part) by the owners of this business who provide goods or services that are registered under the same or a related NAICS code with the Center for Veterans Enterprise (CVE);
Provide the certification type (SDVOSB/VOSB), Federal Identification Number, and state of incorporation for each.
Not applicable ☐
Comment:
Do you plan on responding to a solicitation for this requirement with a Joint Venture utilizing multiple owned companies as majority or non-majority owner?
Yes ☐ No ☐ If yes, please identify which companies are considering a Joint Venture and the ownership of each company.
Are you currently licensed in the State of Florida and qualified to provide the following services?
Have you provided this service in the past 3 years?
NAICS: 221310 - Water Supply and Irrigation Systems
Yes ☐ No ☐ Yes ☐ No ☐ Contract Number:
Will there be any subcontracting?
Yes ☐ No ☐
Vendor Name:
Cage Code and/or SAM Unique ID:
File details come from the government source that posted it. Updated .