Attachment_1_PR-SS-PPQ-959842.pdf

Sources Sought - PR-SS-PPQ-959842

ATTACHMENT – 1INTERESTED PARTIES PLEASE RETURN THIS PAGE TO

Carol.Dingess@usda.gov or fax to Attn: Carol Dingess (2E20) Fax 970-494-7228

Name of company______________________________________________________________

Phone# __________________________________ fax# ____ ___________________

Point of contact Name______________________________________________________________

Email Address ____________________________________________________________________

The North American Industry Classification System (NAICS) Code for this requirement is 332322 Sheet Metal Work Manufacturing The Small Business Standard Size is 500 Employees.

Business Type - MFG [ ] Supplier/Distributor [ ] Other _____________________

Please check all that may apply:

Number of Employees

__ Less than 500

__ 501 OR MORE

[ ] Small Business Concerns (Jan 2011) (15 U.S.C. 637(d)(2) and (3)).

[ ] Small Economically Disadvantaged Business (Jul 2013) (15 U.S.C. 637(m).

[ ] Service-Disabled Veteran-Owned Small Business ((Nov 2011) (15 U.S.C. 657 f).

[ ] Certified HUBZone Business (Nov 2011) (15 U.S.C. 657a

[ ]Other_______________________________________

[ ] Services available on GSA Contract #___________________________________ mailto:Carol.Dingess@aphis.usda.gov http://uscode.house.gov/uscode-cgi/fastweb.exe?getdoc+uscview+t13t16+492+90++%2815%29%20%20AND%20%28%2815%29%20ADJ%20USC%29%3ACITE%20%20%20%20%20%20%20%20%20

Sources Sought - PR-SS-PPQ-959842

Product /Brand Name/Part Number

Please include any Supporting product literature.

**** specs must contain sufficient detail to demonstrate the ability to comply with the notice requirement.

Price (ea) $

Product is manufactured in the U.S. ?

[ ] Yes [ ] No – Country________________________________