Response Form to Sources Sought Notice.docx

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Attached to
6515--Surgical Chairs and Supplies
Solicitation number
36C26324Q0708
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About this file

This document is a Sources Sought Notice from the Department of Veterans Affairs (VA) for surgical chairs and supplies. The VA is seeking qualified contractors to provide brand name or equal surgical chairs and supplies as listed in the notice, including items such as treatment chairs, oxygen cylinder holders, instrument tables, and component holders. Interested contractors must complete and submit the attached Response Form to provide company information, socio-economic classifications, and estimated subcontracting percentages. The VA will use the responses to make appropriate acquisition decisions, and a solicitation may be posted after reviewing the submissions. However, responding to this notice does not obligate the government to award a contract, nor does it add the contractor to a bidders list. The closing date for this sources sought notice is May 15th at 10:00 AM Central Time.

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Sources Sought Information and Capabilities for Surgical Chairs and Supplies

Please fully complete each section of the form below.

Company Name: _____________________________________________________________ Company Address: ___________________________________________________________ UEI Number: _____________________________________________________________ Point of Contact: ____________________________________________________________ Phone Number: _____________________________________________________________ Email Address: _____________________________________________________________

Socio-economic Classification in Accordance with NAICS Code 611430 Professional and Management Development Training (check all that apply) ☐ Small Business ☐ Service Disabled Veteran Owned Small Business (SDVOSB) ☐ Verified SDVOSB by www.vip.vetbiz.gov ☐ Veteran Owned Small Business (VOSB) ☐ Verified VOSB by www.vip.vetbiz.gov ☐ Small Disadvantage Business ☐ Women-owned Small Business ☐ Economically Disadvantaged Small Business ☐ HUBZone ☐ 8(a) Certified

Estimated Services to be Subcontracted

· What percentage of services (estimated) would the company perform as the Prime Contractor? __________________%

· What percentage of services (estimated) would the company subcontract to other firms? __________________%

Please Attach a Company’s Capability Statement for Surgical Chairs and Supplies.

File details come from the government source that posted it. Updated .