Source Sought Response Form.pdf

Source Sought Response Form Employee Assistance Program (EAP) Services

Question 1: Is the requirement/PWS clear? If not, in what ways do you recommend to improve it?.

Question 2: Does any specification listed for this requirement appear restrictive? If yes, please briefly explain.

SECTION 1 - To be completed by the Government acquiring activity.

SECTION 2 - To be completed by the Contractor (the customer may complete questions 6 to 10).

SSN Issue Date:

SSN Closing Date:

Submit the response to this SSN to the following email address:

days, would you submit a

If the answer to question 5 is “Yes”, in addition to this form, please attach a one page summary to your response to include your capability statement, a specific approach and/or any additional comments.

This Form is solely for market research purposes and the Government reserves the right to incorporate recommendations submitted in response to this RFI.

>>> To respond to this RFI: complete section 2 of this form and attach an additional document(s) if requested.

Question 3: Within the last five years, has your company been awarded any similar contracts?

Question 4-a: Do you have the capability to perform?

Question 4-b: Would you need a sub-contractor to perform?

Question 5: If the Government issue a RFP for this requirement in the next proposal?

8(a)SB HubZone VOSB

SDVOSB EDWOSB WOSB

Contractor Name:

UEI Number:

Do you own a Federal Contract Vehicle (IDIQ/GSA Schedule etc):

List the Contract/Schedule Number(s):

CAGE Code:

to

SSN Number:

Project Title:

Issuing Agency:

Award Vehicle:

NAICS Code (Intended):

Period of Performance (Intended): from

Summary of the Requirement -- Additional document is attached )

Source Sought Response Form Employee Assistance Program (EAP) Services

The following questions may be added by the requiring activity.

Question 7:

Question 8:

Question 9:

Question 10:

Question 6: Does your company have prior experience with the product/service for this requirement? if yes, please briefly explain the magnitude of your prior experiences.