Sources_Sought_Response_Form.pdf
PDF 304 KB Posted
- Attached to
- Laminator Repair
- Solicitation number
- W50S7T25QA003
About this file
This is a Sources Sought Response Form template for NAICS code 811210, designed to gather information from potential contractors interested in a laminator repair opportunity with the Illinois National Guard. The form requires companies to provide basic information including company name, SAM-registered address, CAGE code, and UEI number.
The form includes checkboxes for socio-economic status categories including Large Business, Small Business, Small Disadvantaged Business, 8(a) Program Participants, HUBZone Business, Woman-Owned Business, and Service-Disabled Veteran-Owned Small Business (SDVOSB). Respondents must confirm their SAM registration status and acknowledge that incomplete responses or missing documentation may disqualify them from consideration for set-aside determinations under FAR Part 19. The form concludes with fields for the respondent's name, title, and signature certifying the provided information.
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Text version
Sources Sought Response Form
NAICS Code: 811210
Interested firms please respond with this information form and the following requested information.
Please complete all sections of the documents.
1. Company Information
Company Name:
Company Address as registered in System for Award Management (SAM):
CAGE Code:
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 Participants ( ) 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 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:___________________________________ https://www.sam.gov/
File details come from the government source that posted it. Updated .