SAM Sources Sought Response Form.pdf
PDF 130 KB Posted
- Solicitation number
- W50SLF26X1BW3
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Response Form used by interested firms to express capability and interest in a federal contracting opportunity.
The form requests companies to provide essential registration and identification information, including NAICS code, company name, System for Award Management (SAM) address, Commercial and Government Entity (CAGE) code, and Unique Entity ID (UEI) number. Respondents must identify their socio-economic status by checking all 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). The form requires firms to confirm they are registered in SAM with the identified socio-economic status and NAICS code, or that registration is in process. A capabilities statement section allows firms to describe their relevant qualifications and experience. The form also requests contact information including vendor name, point of contact, phone number, fax, and email address, as well as any existing GSA contracts or Government-Wide Acquisition Contract (GWAC) information. A certification statement warns that incomplete responses or failure to provide required documentation may exclude the firm from government consideration for set-aside determinations in accordance with Part 19 of the Federal Acquisition Regulation. The authorized representative must sign the form to validate the submission.
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| File | Type | Posted |
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| PWS - HVAC CLEANING AND INSULATION.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 .