SAM Sources Sought Response Form.docx
DOCX document 20 KB Posted
- Attached to
- SUP Television Monitors, JBPHH-HI
- Solicitation number
- W50SLF26X1CGP
- Issued by
-
Department of the Army National Guard
About this file
This is a SAM Sources Sought Response Form template designed for vendors to submit their capabilities in response to market research conducted by the Hawaii Air National Guard (HIANG) for an anticipated SUP Television Monitors requirement at Joint Base Pearl Harbor-Hickam (JBPHH), Hawaii. The form requests standard company information including firm name, address, contact details, Unique Entity ID (UEI), and Commercial and Government Entity (CAGE) Code. Respondents must identify their small business status if applicable, including designations such as women-owned, service-disabled veteran-owned, small disadvantaged, or Historically Underutilized Business Zone concerns, along with documentation of relevant experience and past performance capabilities.
The procurement falls under NAICS Code 334310 (Audio and Video Equipment Manufacturing) with a 750-employee size standard. This sources sought announcement is issued for market research purposes only under Revolutionary FAR Overhaul (RFO) Part 10 and is not a formal solicitation or commitment by the Government. The Government encourages responses from all interested businesses, particularly small businesses in all socioeconomic categories, to support potential set-asides in the competitive procurement. Respondents should note that they will not receive notification of evaluation results, and any resulting Request for Quotation (RFQ) will be issued under a different number. The procuring activity is the Department of the Army National Guard.
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Other files
| File | Type | Posted |
|---|---|---|
| A.2 Purchase Description SUP Television Monitors Sources Sought.pdf | ||
| SAM Sources Sought Response Form.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 .