Information_Request_Form.docx
DOCX document 21 KB Posted
- Attached to
- Replace Product Recovery Tank Federal contract opportunity
- Solicitation number
- W50S8V20Q0007
- Issued by
- Department of the Army National Guard
About this file
This sources sought notice requests information from interested parties for a firm-fixed-price contract to replace a product recovery tank at the West Virginia Air National Guard in Martinsburg, West Virginia. The project includes demolishing an underground storage tank and catwalk, installing two above-ground storage tanks totaling 2,000 gallons, and constructing access stairs and handrails on three additional above-ground storage tanks. Responses are due by April 10, 2020 and must include a completed sources sought information request form, bonding and experience documentation, and a statement of intent to bid as a prime contractor. The notice aims to gain knowledge of potential small business sources and their capabilities for the project prior to determining the solicitation type.
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Text version
Sources Sought Information Request Form
Project Name: Replace Product Recovery Tank NAICS Code: 237120 – Oil and Gas Pipeline Related Structures Construction Small Business Size Standard: $39,500,000.00 in average annual receipts for the past three years
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:________________________________________________________________________
( ) I have confirmed that the company name and address listed above is exactly the same as listed in (SAM) ( ) The above company name and address is not the same in (SAM), but registration is being corrected to the above listed address ( ) The above company name and address is not registered in (SAM), but registration will be completed if a proposal is submitted in response to Invitation for Bid (IFB) solicitation.
( ) The above company intends to bid on referenced project as a prime contractor.
DUNS Number: ________________________________
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 firm qualifies and registration is in process ( ) My firm is not registered in SAM for the identified NAICS code
2. Bonding Capability:
Individual Project Bonding: _____________________ Total Aggregate Bonding Capability: _____________________ This response must include a letter from your bonding company confirming this amount to be considered.
( ) Bonding letter and/or certificate from bonding provider for amount listed above is attached with my response ( ) My firm does not have a bonding capacity letter ( ) My firm cannot bond to the stated bond requirement
3. 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.
Signature:_____________________________________________ Name: ________________________________________________ Title: ________________________________________________ Phone Number: _______________________
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