Sources Sought Contractor Information Form.docx
DOCX document 30 KB Posted
- Solicitation number
- 36C26026Q0686
About this file
This is a Sources Sought Contractor Information Form template designed to gather market research data from interested small businesses for a Mann-Grandstaff Veterans Affairs Medical Center (MGVAMC) Single Award Task Order Contract (SATOC) for Maintenance and Repair Services.
The form requests standard contractor identification information including UEI, CAGE code, company name, address, and point of contact details. Respondents must indicate their business type classification, selecting from categories such as Small Business, 8(a), HUBZone, Service-Disabled Veteran Owned Small Business (SDVOSB), Veteran Owned Small Business (VOSB), Woman Owned Small Business (WOSB), or Small Disadvantaged Business (SDB). The form also requires disclosure of bonding capacity, including surety name and maximum bonding capacity per project and in aggregate, as well as a complete listing of all office locations. The underlying federal contract opportunity is a firm-fixed price Indefinite Delivery/Indefinite Quantity (ID/IQ) SATOC for a 5-year base period with a total contract capacity of $4,000,000.00, issued by the Department of Veterans Affairs Veterans Health Administration Regional Procurement Office West for maintenance, repairs, renovations, and minor alterations to MGVAMC facilities in Spokane, Washington. Task orders are anticipated to range from $2,000.00 to $350,000.00 each, with the contracting officer issuing projects during the contract period.
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Other files
| File | Type | Posted |
|---|---|---|
| Sources Sought Past Performance Project Data Form.docx | DOCX document | |
| MGVAMC SATOC Maintenance Repair SOW.docx | DOCX document | |
| 36C26026Q0686.docx | DOCX document |
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Text version
SOURCES SOUGHT – CONTRACTOR INFORMATION FORM
Mann-Grandstaff Veterans Affairs Medical Center (MGVAMC) Single Award Task Order Contract (SATOC) for Maintenance and Repair Services
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: |
| UEI: |
| CAGE Code: |
| Company Name: |
| Address: |
| Name of POC for firm: |
| Phone Number of POC: |
| Email of POC: |
2. Type of Business: (check all that apply)
|_| Small Business |_| 8(a) |_| HUBZone |_| Small Disadvantaged Business (SDB) |_| Service-Disabled Veteran Owned Small Business (SDVOSB)
|_| Veteran Owned Small Business (VOSB) |_| Woman Owned Small Business (WOSB) |_| Other:______________
3. Bonding Capacity:
| Surety Name: |
| Maximum bonding capacity per project: |
| $ |
| Aggregate maximum bonding capacity: |
| $ |
4. Offices:
Total number of offices: ______________
Office location(s) *fill-in addresses for all locations below on separate lines:
*EXAMPLE--Main Office: 1234 Main Street, Spokane, WA 99205
5. This space may be used to provide any additional information to clarify the above items only:
Please DO NOT change content of the form.
File details come from the government source that posted it. Updated .