SOURCES_SOUGHT_RESPONSE_FORM_03.03.2016.pdf

PDF 2 MB Posted

Attached to
Cooling Tower Replacement Federal contract opportunity
Solicitation number
GS-03-P-16-DX-C-7004
Issued by
General Services Administration Public Buildings Service Region 3

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Source Sought Response Form

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SOURCES SOUGHT RESPONSE FORM

Response Date: March 11, 2016 Send to: tracy.meister@gsa.gov

1. Contractor Identification

a. Name _________________________________________________________________

b. Address________________________________________________________________

c. City/State_______________________________________________________________

d. CAGE Code/DUNS Number________________________________________________

e. Socioeconomic Program (check all that apply)

Small Business 8(a) Program HUBZone Service Disabled Veteran Owned Small Business Women Owned Small Business

f. Point of Contact information

Name___________________________________________________________ Phone___________________________________________________________ Email____________________________________________________________

2. Experience (provide a brief capability statement as it pertains to this notice) mailto:james.eckhardt@gsa.gov mailto:daniel.fabian@gsa.gov

3. Bonding Capabilities

a. Individual_______________________________________________________________

b. Aggregate______________________________________________________________

c. Surety Company_________________________________________________________

4. Solicitation Preference (Check all that apply) Unrestricted Total Small Business Partial Set Aside 8(a) Program HUBZone Service Disabled Veteran Owned Small Business Women Owned Small Business

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