IR Form.docx
DOCX document 23 KB Posted
- Attached to
- Customized Trailer Generator
- Solicitation number
- W50S7T24QA021
About this file
This document is an IR (Information Request) Form related to a federal contract opportunity for a Customized Trailer Generator. The IR Form requests information from interested firms, including company details, socio-economic status, and a certification. The related federal contract opportunity is a pre-solicitation issued by the Illinois Army National Guard, seeking a 5,500-watt inverter generator to be trailer-mounted with specific technical requirements. The document outlines the desired generator specifications, including a Yamaha engine, 3-year/2,000-hour warranty, and custom fuel tank and compartment. Interested firms must provide a notice of intent to bid, a completed IR Form, and a list of past projects by September 4, 2024. If adequate small business competition is not available, the project may be advertised as unrestricted.
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Text version
NAICS Code: 335312 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):
CAGE Code:
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)
By responding to the Sources Sought Notice, I confirm that my firm is registered in the System for Award Management (SAM), https://www.sam.gov/, with the socio-economic status identified above and the NAICS code specified in the sources sought notice, or that my firm qualities and registration under the applicable NAICS code is in process.
2. 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 the Government’s determination of whether to solicit the referenced project on a set-aside basis in accordance with FAR Part 19.
| Name: | ________________________________________ | |
| Title: | ________________________________________ | |
| Signature: | ________________________________________ |
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