SAM Sources Sought Response Form.pdf
PDF 131 KB Posted
- Attached to
- Electrical and Lighting Materials
- Solicitation number
- W50SLF26X1BXM
- 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 for future solicitations.
The form requires interested firms 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. Respondents must identify the applicable NAICS code and declare their socio-economic status by selecting all that apply from the following categories: large business, small business, small disadvantaged business, 8(a) program participant, HUB Zone business, women-owned business, or Service-Disabled Veteran-Owned Small Business (SDVOSB). The form requires confirmation that the firm is registered in SAM with the declared socio-economic status and NAICS code, or that registration is in process. Respondents must provide a capabilities statement describing their qualifications and relevant experience. The certification section requires vendor contact information, including point of contact, phone number, fax/email, and GSA contract or other GWAC information. The form emphasizes that incomplete responses or failure to provide required documentation or signatures may exclude the firm from the government's determination regarding set-aside solicitations under Part 19 of the Federal Acquisition Regulation.
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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 .