Sources Sought Information Form - Repair Base Fire Alarm.pdf
PDF 733 KB Posted
- Attached to
- 183 CES Repair Base Fire Alarm System
- Solicitation number
- DCFT172008SourcesSought
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Notice response form for construction services, issued by the National Guard Bureau in March 2019. The NAICS code specified is 238990. The form is a template designed to gather information from interested construction firms regarding their capability and eligibility to be considered for potential set-aside contract solicitation under Part 19 of the Federal Acquisition Regulation.
Interested firms must provide company information including their registered name and address in the System for Award Management (SAM), CAGE code, and DUNS number. Respondents must identify their socio-economic status, selecting from options including large business, small business, small disadvantaged business, 8(a) program participant, HUB Zone business, woman-owned business, or service-disabled veteran-owned small business (SDVOSB). Firms must also confirm their bonding capability for individual construction projects and specify the minimum bonding amount. The form includes a certification statement whereby respondents confirm SAM registration with the identified socio-economic status and applicable NAICS code, or that qualification and registration are in process. Incomplete responses or failure to provide required documentation or signatures may result in removal from the Government's consideration for set-aside solicitation.
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Text version
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:
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://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.
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 bonding capability of at least $__________ for individual construction projects.
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: __________________________________
NGB March 2019 A-29 http://www.sam.gov/
| NAICS Code: 238990 |
| joint ventures or teaming partners has bonding capability of at least: |
| Name: |
| undefined: |
File details come from the government source that posted it. Updated .