SAM Sources Sought Response Form.pdf
PDF 83 KB Posted
- Attached to
- SUP Television Monitors, JBPHH-HI
- Solicitation number
- W50SLF26X1CGP
- Issued by
-
Department of the Army National Guard
About this file
This document is a Sources Sought Response Form used by interested firms to express their capability and interest in responding to federal contract opportunities.
The form requires interested companies to submit company information including their name, SAM-registered address, CAGE code, and Unique Entity ID (UEI) number. Respondents must identify their socioeconomic status for the specified NAICS code, with options including 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). Firms must confirm that they are registered in the System for Award Management (SAM) with the stated socioeconomic status and NAICS code, or that their registration is in process. The form includes a section for a capabilities statement, allowing firms to describe their relevant experience and qualifications. Additionally, respondents must provide vendor contact information including point of contact name, phone number, and email or fax, as well as any existing GSA contracts or Government-wide acquisition contract (GWAC) information. The form concludes with a certification statement acknowledging 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. A signature from an authorized representative is required to validate the submission.
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Other files
| File | Type | Posted |
|---|---|---|
| SAM Sources Sought Response Form.docx | DOCX document | |
| A.2 Purchase Description SUP Television Monitors Sources Sought.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 .