Response Form VAARNG Dental Services.docx

DOCX document 14 KB Posted

Attached to
VAARNG Dental Services Class 3
Solicitation number
PANNGB25P0000006853
Issued by

About this file

This document is a Response Form for a Sources Sought Notice for VAARNG Dental Services. The Virginia Army National Guard is seeking qualified vendors to provide Class 3 dental treatments for soldiers throughout the Commonwealth of Virginia. Dental services will include treating conditions such as gingivitis, periodontitis, oral infections, dental emergencies, root canal follow-ups, and addressing teeth requiring prosthodontic treatment or removal. Services are to be completed at the contractor's professional office and must comply with federal and state regulations.

The sources sought notice is not a solicitation and does not guarantee contract award. Interested vendors must complete the attached response form and may include a 1-2 page capabilities statement. Responses should be emailed to Wesley Spencer (wesley.spencer4.civ@army.mil) with "VAARNG Dental Services" in the subject line. The notice emphasizes that no reimbursement will be made for response costs, and the government is primarily seeking to gather information about potential contractors' capabilities, social-economic classifications, and alignment with NAICS code 621399 for health practitioners.

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RESPONSE SHEET

Company Name:

Business Size (NAICS 621399/Small Business Size Standard 10.0M):

Socio-Economic Status (8(a), SDVOSB, WOSB, HubZONE, etc.):

Point of Contact Name, Email, Number.
CAGE CODE
Unique Entity Identifier (UEI)
TAX ID NUMBER

BY: ____________________________ ____________________________

Printed Name Signature

TITLE: ____________________________

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