N4008520R2502_Sources_Sought_Information_Request_Form.docx
DOCX document 14 KB Posted
- Attached to
- HVAC/DDC New London Submarine Base
- Solicitation number
- N4008520R2502
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N4008520R2502_Sources_Sought_Information_Request_Form.docx
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| N4008520R2502_Performance_Work_Statement.pdf | ||
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Sources Sought Information Request Form - Page 1 of 2
Project Name: Heating, Ventilation and Air Conditioning Maintenance & Repair Services, New London Submarine Base Groton Connecticut
NAICS Code: 238220- Plumbing, Heating and Air-Conditioning Contractors, Size Standard $16.5 mil
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 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: ________________________________
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 SAM (www.SAM.gov) 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
Sources Sought Information Request Form - Page 2 of 2
2 Examples of similar work:
( ) I have attached one to 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: ________________________________________ E-mail Address: ________________________________________
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