Sources Sought Form OHWS2.pdf

PDF 81 KB Posted

Attached to
Optimizing Human Weapons System
Solicitation number
W50S8U-20-R-0001
Issued by

About this file

This notice requests information from potential sources for the Optimizing the Human Weapons System contract to provide physical therapy pre-habilitation services at the Tulsa Air National Guard Base in Oklahoma. Services will include injury prevention and mitigation for Fighter Pilots and may consist of labor, supervision, consultation and reports. Interested parties should respond no later than July 20, 2020 with information including intent to bid as a prime contractor, a completed sources sought form, contracts completed in the past three years as prime or subcontractor, and resources and key personnel to accomplish the contract. The solicitation for this requirement is expected to be released on or around July 30, 2020 for a base year plus two option years. The NAICS code is 621340 with a small business size standard of $8 million. Responses should be provided to the specified email addresses, including the subject line "Sources Sought W50S8U-20-R-0001 OHWS."

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Text version

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)

By responding to the Sources Sought Notice, I confirm that my firm is registered in the System for Award Management (SAM) https://www.sam.gov/ with the socio‐economic status identified above and the NAICS code specified in the sources sought notice; or that my firm qualifies and registration under the applicable NAICS code is in process.

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 the Government’s determination of whether to solicit the referenced project on a set-aside basis in accordance with Part 19 of the Federal Acquisition Regulation.

Name: __________________________________

Title: __________________________________

Signature: __________________________________

Sample Sources Sought Response Form

NAICS Code:

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):

CAGE Code:

DUNS Number:

NGB April 2020 A-31 http://www.sam.gov/

NAICS Code: 621340
Company Name:
Company Address as Registered in SAM:
Cage Code:
DUNS Number:
Name:
Title:
Check Box12: Off
Check Box13: Off
Check Box14: Off
Check Box15: Off
Check Box16: Off
Check Box17: Off
Check Box18: Off
Street Address:
City, State, Zip Code:

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