Sources Sought Inform Request.docx
DOCX document 14 KB Posted
- Attached to
- Medical Gas Systems Maintenance Services Federal contract opportunity
- Solicitation number
- N4008524R2557
About this file
This document is a sources sought information request form for medical gas maintenance services at the Naval Hospital Beaufort in South Carolina. Interested firms are asked to provide company information including name, address, DUNS number, and socio-economic status as registered in SAM. Firms must be registered in SAM under NAICS code 561210 for facility support services with a size standard of $47 million. Examples of similar work performed must also be provided with references. The related federal contract opportunity is a pre-solicitation notice for medical gas systems maintenance services with solicitation number N4008524R2557 and agency Naval Facilities Engineering Command, Department of the Navy.
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| PWS.pdf |
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Text version
Sources Sought Information Request Form
Project Name: Medical Gas Maintenance Services for Naval Hospital Beaufort (NHB), South Carolina
NAICS Code: 561210, Facility Support Services, Size Standard $47.0 million
Interested firms: Please complete all sections of the Sources Sought Information Request Form
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
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: ___________________________________________________
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