SOURCES SOUGHT_CONTRACTOR FORM.docx
DOCX document 18 KB Posted
- Attached to
- J042--FIRE & LIFE SAFETY SYSTEM PM&R SERVICES HARRY S TRUMAN VA MEDICAL CENTER COLUMBIA, MISSOURI
- Solicitation number
- 36C25527Q0006
About this file
This is a Sources Sought Notice for market research purposes issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15 for Fire & Life Safety System Preventive Maintenance and Repair (PM&R) Services at Harry S. Truman VA Medical Center in Columbia, Missouri. The requirement is identified under NAICS code 561621 and PSC code J042. The Government intends to set aside this requirement for Service-Disabled Veteran-Owned Small Businesses (SDVOSB); however, responses from other potential sources are encouraged, including HUBZone, 8(a), small, small disadvantaged, veteran-owned, and large businesses.
The Government is conducting market research to identify qualified sources with the requisite skills, capabilities, and experience to perform the described work. Responses to this Sources Sought Notice will inform acquisition strategy decisions and may result in a formal solicitation being published on SAM.gov or other Electronic Governmentwide Points of Entry. Respondents should note that this announcement is for information gathering only and does not constitute a request for proposals or quotes. Submission of information does not guarantee notification of procurement decisions, set-aside determinations, or reimbursement for response preparation costs. Any subsequent solicitation will be published separately on SAM.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| SOURCES SOUGHT_CONTRACTOR FORM_Fillable.pdf | ||
| 36C25527Q0006_SSN.docx | DOCX document |
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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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