SOURCES SOUGHT_CONTRACTOR FORM_Fillable.pdf

This is a Sources Sought – Contractor Information Form used by the Veterans Health Administration (VHA) Regional Procurement Operations Center (RPOC) Network Contracting Office 15 to solicit general information from potential contractors interested in future opportunities.

The form requests basic contractor identification including business name, address, SAM Unique Entity Identifier (UEI), and point of contact information. Contractors must identify their business classification by checking applicable categories, which include SBA certifications such as 8(a) firms, HUBZone Small Businesses, Service-Disabled Veteran-Owned Small Businesses, Veteran-Owned Small Businesses, Economically Disadvantaged Women-Owned Small Businesses, Women-Owned Small Businesses, or Large Businesses. The form also requires contractors to document their relevant experience by indicating the number of projects completed within specific contract value ranges: less than $500K, $500K to $1M, $1M to $2M, $2M to $5M, and greater than $5M. Additionally, contractors must provide a capabilities statement, with responses limited to one page. This template serves as a preliminary market research tool to identify potential contractors and assess their qualifications and experience relevant to VHA contracting opportunities.