Response Form to Sources Sought Notice.docx

DOCX document 22 KB Posted

Attached to
6515--Drager Anesthesia Machine or Equal
Solicitation number
36C26324Q0756
Issued by

About this file

This document is a Sources Sought Notice from the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 23, seeking qualified potential contractors to provide six Drager Anesthesia Machines and accessories, or equal.

The notice requests companies to complete and submit the attached "Response Form to Sources Sought Notice" providing company details, socio-economic classification, and estimated subcontracting information. Companies are also asked to attach their capability statement for Drager Anesthesia Machines and accessories. The closing date for this sources sought notice is May 15th at 10:00 AM Central Time. This is not a solicitation, and responses will be used by the government to make appropriate acquisition decisions. A solicitation announcement may be posted after reviewing the responses.

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Sources Sought Information and Capabilities for Drager Anesthesia Machines and Accessories

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 339113 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 Drager Anesthesia Machines and Accessories.

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