Sources Sought Information Request Form.pdf
PDF 131 KB Posted
- Attached to
- 109AW - Scotia, NY Paving Project
- Solicitation number
- PANNGB-20-P-0000-014864
About this file
This document contains a sources sought notice and information request form from the New York Army National Guard regarding a paving project at Stratton Air National Guard Base. The notice seeks information from potential small business sources for a project between $500,000 and $1,000,000 to pave parking lots at Buildings 25 and 43, install new sidewalks, and repave a roadway section. Interested contractors should submit a completed information request form and a list of similar past projects by July 13, 2020. The information request form requires company information and confirmation of registration in the System for Award Management and NAICS code. By responding, contractors confirm bonding capability of at least $1 million for individual construction projects. If adequate small businesses are not available, the project may be advertised as unrestricted.
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Text version
NAICS Code: 237310
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 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 $1 million 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:
http://www.sam.gov/
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