Remediation Sources Sought Form.pdf

Sources Sought Information Request Form

Project Name: Building Remediation Services

Brief Description: Remediation services for Arsenic, Barium, Cadmium, Chromium, Lead, Selenium, Silver, and Silica. Reference: 29 CFR 1910 Subpart Z, arsenic, barium, selenium; and the following OSHA expanded standards 29 CFR 1910.1025 Lead, 29 CFR 1910.1026 Cr, 29 CFR 1910.1027 Cd, 29 CFR 1910.1053 silica.

NAICS Code: 562910

Interested firms please respond with this information form and the following requested information.

Responses to this sources sought are requested by: 9 January 2025 at 1:00pm PST.

Please complete all sections of the document.

1. Company Information:

Company name:

Company Address as registered in System for Award Management (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.

CAGE Code:

UEI Number:

2. Socio-economic status for the listed NAICS code - please check all that apply:

Large business

Small business

Small disadvantaged business

8(a) program participant

HUBZone business

Woman-Owned business

Service-Disabled Veteran-Owned Small Business (SDVOSB)

The firm must be registered in System for Award Management (SAM) https://www.sam.gov/portal/public/SAM/ 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.

3. Remediation and cleanup your firm provides – please check all that apply:

Arsenic Barium Cadmium Chromium

Lead Selenium Silver Silica

4. Examples of similar work: Provide a maximum of two (2) projects completed within the last three years that are similar in nature to the work being referenced to.

Example 1:

Type of project:

Dollar value of the project:

Contract number (if applicable):

Location of the work:

Was the project performed for (check one): Government Private Entity

Was your firm (check one): Prime Contractor Subcontractor:

If your firm was a subcontractor, provide the percentage of work that was awarded and completed on the project by your firm:

Reference:

Brief description:

Example 2:

Type of project:

Dollar value of the project:

Contract number (if applicable):

Location of the work:

Was the project performed for (check one): Government Private Entity

Was your firm (check one): Prime Contractor Subcontractor:

If your firm was a subcontractor, provide the percentage of work that was awarded and completed on the project by your firm:

Reference:

Brief description:

5. Resources: Provide a brief outline of resources, subcontractors, and key personnel to include credentials of personnel that your firm would use to complete this project.

6. Certification: In the event our firm meets the criteria listed in the solicitation when advertised and as a result of the submission of this documentation, it is our firms’ intention to submit a proposal as a prime contractor.

Signature: Printed Name:

Title:

Phone No. E-mail Address:

Please e-mail the completed form and attachments to shana.stroh@us.af.mil. Submission of this form and attachments will not qualify your firm for the referenced project. The Information being requested and received is strictly for the purposes of market research and intended for Government use only. THIS IS NOT A REQUEST FOR PROPOSAL. NO SOLICITATION, PLANS OR SPECIFICATIONS ARE AVAILABLE FOR THIS PROJECT AT THIS TIME.

THERE WILL BE NO “SUCCESSFUL OFFEROR” AS A RESULT OF THE RECEIPT OF

THIS INFORMATION.

mailto:shana.stroh@us.af.mil