SAM Sources Sought Response Form_26X1BP0.pdf
PDF 130 KB Posted
- Solicitation number
- W912J626X1BP0
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Response Form template used by the federal government to identify potential contractors capable of fulfilling a specific contract opportunity. Interested firms must complete all sections of the document to be considered in the government's determination of whether to solicit the referenced project on a set-aside basis.
Respondents are required to provide company registration information including name, address as registered in the System for Award Management (SAM), Commercial and Government Entity (CAGE) Code, and Unique Entity ID (UEI) Number. Firms must identify their socio-economic status by checking all applicable categories, which may include large business, small business, small disadvantaged business, 8(a) program participant, HUB Zone business, woman-owned business, or Service-Disabled Veteran-Owned Small Business (SDVOSB). The form requires firms to confirm current registration or pending registration in SAM under the specified NAICS code with the identified socio-economic status. Respondents must provide a capabilities statement describing their qualifications and experience relevant to the opportunity. Contact information must include vendor name, point of contact, phone number, fax and/or email address, and any relevant GSA Schedule or Government-Wide Acquisition Contract (GWAC) information. The form concludes with a certification statement that acknowledges incomplete responses or failure to provide required documentation and signature may result in the firm's removal from consideration for set-aside determinations in accordance with Federal Acquisition Regulation Part 19.
View the file
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sources Sought Response Form
NAICS Code: ___________
Interested firms please respond with this information form and the following requested information. Please complete all sections of the document.
Company Name: __________________
Company Address as registered in System for Award Management (SAM): _________________
Commercial and Government Entity (CAGE) Code: ________________
Unique Entity ID (UEI) Number: ___________________
Socio‐economic status for the listed NAICS code ‐ please check all that apply:
( ) Large business ( ) Small business
( ) Small disadvantaged business ( ) 8(a) program participant
( ) HUB Zone business ( ) Woman‐Owned business
( ) Service‐Disabled Veteran‐Owned Small Business (SDVOSB)
By responding to the Sources Sought Notice, I confirm that my firm is registered in the System for Award Management (SAM) https://www.sam.gov/ with the socio‐economic status identified above and the NAICS code specified in the sources sought notice; or that my firm qualifies and registration under the applicable NAICS code is in process.
Capabilities Statement:
http://www.sam.gov/ http://www.sam.gov/
Certification:
I understand that incomplete answers in sections or my failure to provide required documentation or failure to sign this certification may remove my firm from the Government’s determination of whether to solicit the referenced project on a set-aside basis in accordance with Part 19 of the Federal Acquisition Regulation.
Vendor Name: ___________________________________________________
Vendor POC: ___________________________________________________
Contact Ph#: _____________________________________________________
Fax and/or Email: ___________________________________________________
GSA Contract, or other GWAC information: ____________________________________
Signature: __________________________________
File details come from the government source that posted it. Updated .