Sources Sought Information Request Form.docx

1. Company Information Company Name: _______________________________________________________ Company Address:____________________________________________ _________ Unique Entity Identifier: __________________________________________________ (Formerly called DUNS Number) CAGE Code: _____________________________ Contact Name: ________________________________ Contact Phone: _____________________________ Company Email: _____________________________

2. Socio‐economic status for NAICS Code of Project (Check all that apply):

_____ Large Business _____ Small Business _____ Small Disadvantaged Business _____ 8(a) Small Business _____ Veteran‐Owned Small Business _____ Service‐Disabled Veteran‐Owned Small Business _____ HUBZone Small Business _____ Woman‐Owned Small Business

3. Past Project Examples Provide descriptions of two projects that are substantially complete or completed within the last ten years which are similar to this project in size, scope, and dollar value.

4. Company Capability Provide a descriptive statement of the company’s capacity to perform this work at this location, addressing the ability to mobilize, subcontract as necessary if applicable and subject to FAR 52.219-14, schedule, supervise, supply, and execute such work. Include a statement indicating how much of the work would be self‐performed by the potential prime contractor.

5. Interest If this requirement is advertised, do you anticipate submitting an offer?