Sources Sought Information Response Form.pdf
PDF 103 KB Posted
- Attached to
- Fall Protection Inspection
- Solicitation number
- W50S7T26QA012
About this file
This is a Sources Sought Response Form for fall arrest annual inspection and 5-year recertification services. The U.S. Air Force is seeking qualified contractors to provide annual physical inspections and certifications for fall arrest systems in compliance with ANSI/OSHA standards, along with a comprehensive 5-year Engineering Design Review including Professional Engineer stamped drawings, recalculations, and recertification reports. The procurement vehicle is a Blanket Purchase Agreement (BPA) with an estimated annual value of $10,000 and a total BPA limit of $50,000 over five years. Responses must be submitted by email to 1st Lt Nicholas Marzinzik (nicholas.marzinzik@us.af.mil) and Mr. Jason Shallenberger (jason.shallenberger@us.af.mil) by 11 September 2026 at 12:00 P.M. CDT.
Interested companies must submit a response not exceeding five typewritten pages that includes: the completed and signed response form; a statement of intent to bid as prime contractor; an outline of key personnel, resources, and subcontractors; a listing of comparable contracts completed in the past three years for government and private sector clients with details on contract type, dollar value, location, owner point of contact, contract number, and prime/subcontractor status; and current official documentation proving technicians are trained and certified to perform the required work per ANSI/OSHA standards and capable of conducting the 5-year Engineering Design Review. Respondents must confirm registration in the System for Award Management (SAM) and provide their CAGE CODE, Unique Entity ID (UEI), and socio-economic status, which may affect set-aside eligibility under Part 19 of the Federal Acquisition Regulation.
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Text version
sources sought - Response form
Requi rement: Fall Arrest Annual Inspection & 5-year recertification Procurement Vehicle: Blanket Purchase Agreement (BPA) Estimated Annual Value: $10,000.00 / Total Estimated BPA Limit: $50,000.00 over five (5) years
All interested concerns shall respond in writing to 1st Lt Nicholas Marzinzik via email at nicholas.marzinzik@us.af.mil and Mr. Jason Shallenberger at jason.shallenberger@us.af.mil by 11 September 2026 12:00 P.M. CDT. The response shall not exceed five typewritten pages and must include:
(1) This Sources Sought Response Form completed and signed.
(2) A positive statement of intent to bid as a prime contractor.
(3) A brief outline of key personnel, resources, and subcontractors that would be used to accomplish the contract.
(4) A listing of comparable contracts completed during the past three years for both government and private industry. Include as part of this listing: type of requirement, dollar value, location, 'owner' point of contact, contract number, and indicate whether you were prime or subcontractor (provide prime contractor Name/POC if performed as a sub).
(5) Provide current, official documentation proving your firm's technicians are trained/certified to perform annual physical inspection and recertification for all listed systems per ANSI/OSHA standards and are capable to perform a 5-year Engineering Design Review (EDR): Professional Engineer (PE) stamped drawings, recalculation, and recertification report in Year 5.
Company Information:
Company name:
Company Address:
CAGE CODE:
Unique Entity ID (UEI):
Socio-economic status for the listed NAICS code - please check all that apply:
O Large business O Small disadvantaged business O HUB Zone business
O Small business O 8(a) program participant O Woman-Owned business
O 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.
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: ____________ _
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