Sources Sought Response Form.pdf

PDF 73 KB Posted

Attached to
Refuse Service Federal contract opportunity
Solicitation number
W50S7T-20-R-9999
Issued by
Department of the Army Illinois Army National Guard

About this file

This sources sought notice and response form seek information from potential offerors for refuse service at an Illinois Air National Guard base. Interested parties are requested to respond by May 15, 2020 with their company information, socioeconomic status, intent to bid as a prime contractor, key personnel and resources, and descriptions of past relevant projects as a prime contractor or subcontractor. The 182nd Airlift Wing intends to issue a solicitation for a firm fixed-price refuse service contract for one base year plus four option years, to include weekly collection from 14 refuse containers, 11 paper containers, and 1 construction dumpster. The requirement is for planning purposes only to determine potential small business sources.

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Text version

Sources Sought - Response Form

Project Name: Refuse Service NAICS Code: 562111 Small Business Size Standard: $41,500,000.00 in average annual receipts for the past three years

All interested concerns shall respond in writing to Melissa Grice via email at melissa.j.grice.mil@mail.mil by May 15, 2020, 4:00 P.M. CST. 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 projects completed during the past three years for both government and private industry.

Include as part of this listing: type of project, 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).

1. Company Information.

Company name:

Company Address:

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.

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 .