Sources Sought Response Form.docx
DOCX document 24 KB Posted
- Solicitation number
- W50S9F25Q0004
- Issued by
-
Department of the Army National Guard
About this file
The document is a Sources Sought Response Form for a Department of the Army National Guard contract opportunity (Solicitation Number: W50S9F25Q0004) seeking potential contractors for removal and disposal of PFAS/PFOA compromised soil at the 115th Fighter Wing's Dane County Regional Airport in Madison, WI. The project involves removing an estimated 13,200 cubic yards (approximately 19,600 tons) of soil, with contractors required to collect and analyze soil samples to determine appropriate disposal methods and transport the soil to an EPA-approved disposal facility.
Interested contractors must submit a five-page response including: a statement of intent to bid, a completed Sources Sought Response Form, a list of relevant project history from the past six years, and an outline of resources and key personnel. The solicitation is primarily targeting small business contractors, with the potential for an unrestricted competition if sufficient small business sources are not identified. Responses must be emailed to scott.homner@us.af.mil with the subject line "Sources Sought W50S9F25Q0004" by the specified date, with no facsimile responses accepted. Contractors must comply with all federal, state, and local regulations for soil disposal.
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Text version
Sources Sought Response Form
NAICS Code: 562910
Interested firms please respond with this information form and the following requested information. Please complete all sections of the document.
Company Information
Company Name:
Company Address as registered in System for Award Management (SAM):
CAGE Code:
Unique Entity ID:
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.
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:
File details come from the government source that posted it. Updated .