Sources Sought-Contractor Information Form.pdf

(Rev. 01/2022)

SOURCES SOUGHT – CONTRACTOR FOR INSTRUCTIONAL SERVICES

Special Operations Combatives Program (SOCP)

W9127Q-22-R-0002

Regional Counterdrug Training Academy (RCTA)

Navy Air Station-Meridian, MS Mississippi National Guard

-- Please provide contractor’s general information as requested on this form; Do not send additional pages or attachments. Report capabilities as related to this Sources Sought in Box #4 below.

-- Upload completed form to SAM.gov/Contract Opportunities or email to davis.c.scott2.civ@army.mil

1. Contractor Information: UEI*: ____________________________ CAGE:

Company

Name:

Address:

Name of POC for firm:

Phone Number of POC: Email of POC:

2. Type of Business: (check all that apply) Large Business

Small Business

SBA certified HUBZone Small Business

Service-Disabled Veteran-Owned Small Business

Small Disadvantaged Business

SBA certified 8(a) firm

Women-Owned Small Business

3. Interested company is currently registered in System of Award Management (SAM)? Yes No

*DUNS is being replaced by the Unique Entity Identifier (UEI), which is not required for this submission, however will be required for proposal submission

4. Provide a summary description of capabilities to include work experience, training, education, or certifications received that relate to the sources sought notice for an SOCP instructor for the RCTA

NAS Meridian, MS. Please do not exceed this space provided for description summary.

(Rev. 01/2022)

4. (Continued)