SOURCES SOUGHT_CONTRACTOR FORM.docx
DOCX document 18 KB Posted
- Attached to
- J059--PNEUMATIC TUBE SYSTEM PM&R SERVICES HARRY S TRUMAN VA MEDICAL CENTER COLUMBIA, MISSOURI
- Solicitation number
- 36C25527Q0007
About this file
This is a Sources Sought Contractor Information Form template used by the Network Contracting Office 15 to collect general information from potential contractors interested in federal contract opportunities. The form requests standard contractor details including business name, address, SAM UEI, and point of contact information. It requires contractors to identify their business classification status, including options for SBA certified 8(a) firms, HUBZone small businesses, Service-Disabled Veteran-Owned Small Businesses (SDVOSB), Veteran-Owned Small Businesses (VOSB), Women-Owned Small Businesses (WOSB), Economically Disadvantaged Women-Owned Small Businesses (EDWOSB), and large businesses. The form also requests documentation of project experience at various funding levels, with a specific reference to the $5 million threshold.
This template is associated with a pre-solicitation sources sought notice for pneumatic tube system preventive maintenance and repair services at the Harry S. Truman VA Medical Center in Columbia, Missouri (Solicitation Number 36C25527Q0007, NAICS 811310, PSC J059). The Department of Veterans Affairs Veterans Health Administration intends to set-aside the requirement for SDVOSB but is conducting market research to identify qualified sources across all size classifications and socio-economic categories. Responses to this sources sought notice are for research purposes only and do not constitute a request for proposals or quotes; respondents will not be notified of government procurement decisions and submissions do not obligate the government to pay any associated costs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| SOURCES SOUGHT_CONTRACTOR FORM_Fillable.pdf | ||
| 36C25527Q0007_SSN.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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:
File details come from the government source that posted it. Updated .