Sources Sought Form.pdf

PDF 131 KB Posted

Attached to
Entry Control Facility Federal contract opportunity
Solicitation number
W50S8N21B0001
Issued by
Department of the Army National Guard

About this file

This document contains a sources sought notice and federal contract opportunity for an entry control facility project. The sources sought notice requests information from interested firms by July 2nd to inform planning for a potential firm fixed price design-build contract between $1,000,000 and $5,000,000. Interested parties must complete an attached two-page request form providing company and SAM registration details, bonding information, and three similar project references. The opportunity will be set aside for small businesses if adequate small business contractors can provide competitive bids. Otherwise, it may be advertised as unrestricted. The contract would be awarded by the 174th Attack Wing of the New York Air National Guard to construct a new entry control facility complex at Hancock Field Air National Guard Base, including a gate house, guard booth, vehicle canopies, pavements, fencing, gates, barriers, site lighting and drainage, and demolition of the existing facility. Responses to the sources sought notice should be emailed to the points of contact provided by the specified deadline.

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Text version

Sources Sought Information Request Form - Page 1 of 2 Entry Control Facility

NAICS Code: 236220

Interested firms please respond with this information form and the following requested information.

Please complete all sections of the document.

1. Company Information

Company name: ______________________________________________________________________

Company Address as registered in System for Award Management (SAM):

( ) I have confirmed that my address listed above is exactly the same as listed in (SAM)

( ) The above address is not the same in (SAM), but registration is being corrected to the above listed address

DUNS Number: ______________________________

CAGE CODE: _______________________________

Socio-economic status for the listed NAICS code - please check all that apply:

( ) Large business ( ) Small business

( ) Small disadvantaged business ( ) 8(a) program participant

( ) HUB Zone business ( ) Woman-Owned business

( ) Service-Disabled Veteran-Owned Small Business (SDVOSB)

The firm must be registered in System for Award Management (SAM) https://sam.gov/content/entity‐ landing with the socio-economic status identified above and the NAICS code specified in the sources sought notice. If the firm’s (SAM) record does not include this project’s NAICS code, the firm will not be considered.

( ) I have confirmed that my firm is registered in SAM for the NAICS code and business type selected

( ) My firm is not registered in SAM with the NAICS code and business status selected, but the firm qualifies and registration is in process

( ) My firm is not registered in SAM for the identified NAICS code

Sources Sought Information Request Form - Page 2 of 2

Entry Control Facility

2. Bonding Capability

Individual Project Bonding:__________________________________

Total Aggregate Bonding Capability:___________________________

3. Examples of similar work:

( ) I have attached three references for similar work that our firm has performed.

( ) I have not attached three references of similar work that our firm has performed.

Certification:

I understand that incomplete answers in sections or my failure to provide required documentation or failure to sign this certification may remove my firm from consideration for this project sources sought notice.

NAME:________________________________________________

TITLE:_________________________________________________

SIGNATURE:___________________________________________

DATE:_______________

File details come from the government source that posted it. Updated .