SOURCES SOUGHT_CONTRACTOR FORM.docx
DOCX document 18 KB Posted
- Solicitation number
- 36C25526Q0066
About this file
This document is a Sources Sought - Contractor Information Form for Network Contracting Office 15, designed to gather preliminary market research information for a specific VA project. The related federal contract opportunity is a 5-year review and amendment of the Spill Prevention, Control, and Countermeasures Plan (SPCCP) for the Marion, IL VA Medical Center, requiring a comprehensive update to ensure compliance with 40 CFR 112 regulations and applicable state and local requirements.
The project specifically calls for a contractor to revise the existing SPCCP, including updating emergency response plans for petroleum product releases, creating an electronic and user-friendly document, and ensuring certification by an Illinois-registered Professional Engineer experienced in SPCCP preparation. The form also solicits information about potential contractors, including business type (with options for small business set-asides like 8(a), HUBZone, and veteran-owned businesses), past project experience, and capabilities. The opportunity is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25526Q0066_SSN.docx | DOCX document | |
| SOURCES SOUGHT_CONTRACTOR FORM_Fillable.pdf |
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Text version
SOURCES SOUGHT – CONTRACTOR INFORMATION FORM
for
NETWORK CONTRACTING OFFICE 15
Use this form to provide contractor’s general information. Please limit response to one page. The box at the bottom of this form may be used to clarify any requested information.
1. Contractor Information:
| Business Name: |
| Address: |
| SAM UEI: |
| Name of POC for Business: |
| Phone Number of POC: |
| Email of POC: |
2. Type of Business: (check all that apply)
| |_| SBA certified 8(a) firm |
| |_| SBA certified HUBZone Small Business |
| |_| Service-Disabled Veteran-Owned Small Business |
| |_| Veteran-Owned Small Business |
| |_| Economically Disadvantaged Women-Owned Small Business |
| |_| Women-Owned Small Business |
| |_| Other: ___________________________ |
| |_| Large Business |
| 3. Please identify number of projects your organization has performed at the different ranges identified below: | ||
| <$500K | ______ $500K ~ $1M | ______ |
| $1M ~ $2M | ______ $2M ~ $5M | ______ |
| >$5m | ______ |
4. CAPABILITIES STATEMENT:
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