SAM Sources Sought Response Form.docx
DOCX document 20 KB Posted
- Solicitation number
- W50SLF26X1BXL
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Response Form template for the Hawaii Air National Guard's pre-solicitation announcement (W50SLF26X1BXL) regarding repair of roll-up doors at Joint Base Pearl Harbor-Hickam (JBPHH). The form is designed to collect information from interested vendors to support market research and potential set-aside determinations for a competitive procurement.
Respondents must complete all sections of the form, including company name, SAM registration address, CAGE code, and Unique Entity ID (UEI) number. The designated NAICS code is 238290 (Other Building Equipment Contractors) with a $22.0 million size standard. Firms must identify their socioeconomic status by checking applicable categories: 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). Respondents must confirm current or pending SAM registration under the applicable NAICS code and provide a capabilities statement along with contact information for the vendor point of contact, including phone, fax, and email. The form requires signature certification, acknowledging that incomplete responses or missing documentation may disqualify the firm from the Government's determination regarding set-aside eligibility. This template is not a request for quotation or proposal but rather a market research tool; respondents will not be notified of evaluation results, and any subsequent RFQ will be issued under a different number.
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Other files
| File | Type | Posted |
|---|---|---|
| SAM Sources Sought Response Form.pdf | ||
| PWS - KNMD260027 Repair Roll Up Doors B3424 and B3379 v2.pdf |
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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 Information:
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:
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 .