Response Form to Sources Sought Notice.pdf

Sources Sought Information and Capabilities for

Uninterruptible Power Supplies (UPS) Maintenance Services

Please fully complete each section of the form below.

Company Name: _____________________________________________________________

Company Address: ___________________________________________________________

DUNS Number: _____________________________________________________________

Point of Contact: ____________________________________________________________

Phone Number: _____________________________________________________________

Email Address: _____________________________________________________________

Socio-economic Classification in Accordance with NAICS Code 811310 Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance (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 ☐ Other: _________________________________________________

Detailed Information:

1. What percentage of the contracted services can your company complete as the prime contractor? ______________%

2. What percentage of the contracted services would your company subcontract?

3. Is your company a certified dealer with qualified personnel to service Uninterruptible Power Supplies?

4. Does your company have CCURE9000 Level 2 Installer/Maintainer certification?

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