Sources Sought Notice Response Form.pdf

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Attached to
Repair Building 21 Roof at Sepulveda Air National Guard Station
Solicitation number
W50S6U23B0001
Issued by

About this file

This document contains a sources sought notice and response form seeking information from potential sources for a roof repair project at a National Guard facility. The notice requests a capability statement and completed response form from interested parties by June 8, 2023 to assist in determining the feasibility of replacing the roof of Building 21 at Sepulveda Air National Guard Station in California. The project scope involves replacing an existing built-up roof with an EPDM roofing system, with an estimated cost between $500,000 and $1,000,000. Interested parties are asked to provide project experience from the past three years, including whether they were a prime contractor or subcontractor, as well as resources, subcontractors, and key personnel that would be used for this contract. The notice states responses are for market research only and do not constitute a commitment to issue a solicitation.

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Text version

Sources Sought Response Form

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:

SAM UEI 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 (both single project and aggregate amounts)

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:

http://www.sam.gov/

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