Sources Sought Info Req Form-PHA FY26 NYARNG.docx
DOCX document 32 KB Posted
- Solicitation number
- 038136
About this file
This is a Sources Sought Information Request Form for a pre-solicitation notice regarding Periodic Health Assessments (PHA) services for the New York Army National Guard (NYARNG) at the MATES Facility, Fort Drum, New York. The New York Army National Guard MEDCOM intends to procure PHA services to serve as a force multiplier for the organization. The NAICS code is 621112, and no bonding requirement is specified. All interested firms, including small business concerns, are encouraged to respond to this sources sought notice, which is for planning purposes only and not a binding request for quote.
Interested firms must submit a completed Sources Sought Information Request Form with a statement of capabilities (not to exceed five typewritten pages), a signed certification, a listing of previous contracts from the past three years (including government and private sector work with contract numbers, dollar values, locations, and points of contact), and a brief outline of resources, subcontractors, and key personnel licensed to perform services in New York State. Firms must be registered in the System for Award Management (SAM) with the specified NAICS code and appropriate socio-economic status to be considered. All responses must be submitted by July 7, 2026 at 0800 hours via email to dolan.p.brammer2.civ@army.mil and Melissa.santoro2.civ@army.mil. If adequate small business contractors are not available, the requirement may be advertised as unrestricted.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| PHA Contract Performance Work Statement (PWS).docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Sources Sought Information Request Form
Project Name: MEDCOM PHA IDIQ Services for the New York Army National Guard, Location: NY MATES Facility, Fort Drum, NY, 13602
Bonding requirement: No NAICS Code: 621112
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 SAM at https://www.sam.gov/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
UEI Number:
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 SAM (https://www.sam.gov/SAM/ ) 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
Statement of interest/capabilities statement shall not exceed five typewritten pages- include a statement of intent to offer a quote A completed and signed Sources Sought Information Request Form (this form) A listing of previous contracts withing the past three years, both for government and private industry. The type of services provided, the dollar value, contract number, location, and point of contact are to be included.
A brief outline of resources, subcontractors, and key personnel licensed to perform these services in NYS and the type of license they possess that would be used to accomplish the contract.
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.
| Signature: | Name: |
| Title: | Phone Number: |
Email completed form to dolan.p.brammer2.civ@army.mil and Melissa.santoro2.civ@army.mil
File details come from the government source that posted it. Updated .