SOURCES SOUGHT_CONTRACTOR FORM.docx
DOCX document 18 KB Posted
- Attached to
- S201--MC | MA VAMC | EVERGLAZE FLOOR MAITENANCE
- Solicitation number
- 36C25526Q0118
About this file
This document is a Sources Sought - Contractor Information Form for Network Contracting Office 15, associated with a VA Medical Center floor maintenance requirement. The sources sought notice is specifically seeking market research information for a potential solicitation set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSB) under NAICS code 238330 and PSC S201.
The form requests contractors to provide their business details, socio-economic status, and project experience. The VA is conducting market research to identify potential qualified sources capable of performing floor maintenance services at the MA VAMC location. Importantly, this is a pre-solicitation market research announcement and does not constitute a formal request for proposals. Contractors are encouraged to respond to help the government determine acquisition strategy, with the understanding that responses will not be considered bids for any future solicitation and do not guarantee participation in subsequent procurement processes.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25526Q0118_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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