Sources Sought Info Request Form.docx

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Attached to
Repair MOGAS Station
Solicitation number
W50S7T20R0005
Issued by

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This document contains a sources sought notice and related federal contract opportunity for repair work on a MOGAS station. The sources sought notice requests responses by June 19th from interested small businesses including 8(a), HUBZone, and SDVOSB firms to provide information on their capabilities, bonding level of at least $5 million, and past project experience. Responses should include a completed sources sought information request form and brief statement of qualifications. The related federal contract opportunity involves removing underground fuel tanks, backfilling, installing concrete and utility lines at a cost estimated between $250,000 to $500,000. The award will be a firm fixed price contract issued by the USPFO for Illinois National Guard to the responsible source providing the best value.

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Text version

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):

CAGE Code:

DUNS 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)

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 qualities and registration under the applicable NAICS code is in process.

2. Bonding Capability By responding to this Sources Sought Notice, I confirm that my firm, individually or through association with joint ventures or teaming partners, has a bonding capability of at least $5M for individual construction projects.

3. 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 FAR Part 19.

Name:________________________________________
Title:________________________________________
Signature:________________________________________

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