Sources_Sought_Form.docx
DOCX document 15 KB Posted
- Attached to
- Lift Station and Oil Water Separator Repair
- Solicitation number
- PANNGB-20-P-0000-002186
About this file
This document contains a sources sought notice and related federal contract opportunity. The sources sought notice requests information from interested firms to repair lift stations and oil water separators at Dannelly Field Air National Guard Base in Alabama. Responding firms must provide company information, certification of registration in the System for Award Management and applicable NAICS code, and confirmation of bonding capability of at least $500,000 to $1,000,000. Interested parties must respond by November 21, 2019 with the requested information form and details of past relevant project experience as a prime contractor or subcontractor. If an adequate number of small businesses do not respond, the opportunity may be advertised as unrestricted. The related federal contract opportunity will solicit proposals for the lift station and oil water separator repair project between $500,000 to $1,000,000 to be awarded by the Department of the Army Alabama Army National Guard.
Sources Sought Form to be filled out for interested vendors
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Text version
NAICS Code: ______
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 qualifies and registration under the applicable NAICS code is in process.
2. Bonding Capability.
By responding to this Sources Sought Notice, I confirm that my firm, individually or through association with joint ventures or teaming partners, has bonding capability of at least $__________ for individual construction projects.
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 Part 19 of the Federal Acquisition Regulation.
Name: __________________________________
Title: __________________________________
Signature: __________________________________
File details come from the government source that posted it. Updated .