Response Form to Sources Sought Notice.pdf

Sources Sought Information and Capabilities for

Boiler Combustion Tuning and Safety Device Testing 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 238220 Plumbing, Heating, and Air-Conditioning Contractors (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 Boiler Combustion Tuning and Safety

Device Testing Services http://www.vip.vetbiz.gov/ http://www.vip.vetbiz.gov/