SAM Sources Sought Response Form.pdf
PDF 130 KB Posted
- Solicitation number
- W50SLF26X1BTZ
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Response Form template used by federal agencies to identify potential contractors capable of performing a specific project or supply requirement.
The form requires responding firms to complete all sections, including company information (name, SAM registration address, CAGE code, and UEI number), identification of socio-economic status applicable to the specified NAICS code, and a capabilities statement describing the firm's relevant experience and qualifications. Respondents must confirm their firm is registered in the System for Award Management (SAM) with the socio-economic status and NAICS code identified, or that registration is in process. The form includes checkboxes for socio-economic classifications: large business, small business, small disadvantaged business, 8(a) program participant, HUB Zone business, woman-owned business, and service-disabled veteran-owned small business (SDVOSB). The certification section warns that incomplete responses or failure to provide required documentation may result in removal from the government's consideration for set-aside determinations under Part 19 of the Federal Acquisition Regulation. Contact information required includes vendor name, point of contact, phone number, fax/email, and any existing GSA contracts or other GWAC information. A signature from an authorized representative is required to execute the form.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Estimated Workload Data.pdf | ||
| SAM Sources Sought Response Form.docx | DOCX document |
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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:
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 .