Sources Sought Response Form.pdf

PDF 161 KB Posted

Attached to
FY25 OHARNG CJAG Culvert Project Federal contract opportunity
Solicitation number
W91364-25-B-A005
Issued by
Department of the Army Ohio Army National Guard

About this file

The document is a Sample Sources Sought Response Form for a federal contract opportunity involving culvert repair and installation at Camp James A. Garfield Joint Military Training Center in Ravenna, Ohio. The form requires interested firms to provide company information, including NAICS code, CAGE code, DUNS number, and socio-economic status, with options for small business designations such as 8(a), HUB Zone, and Service-Disabled Veteran-Owned Small Business.

The Sources Sought Notice seeks prime contractors for a design-build project valued between $500,000 and $1,000,000, focusing on replacing two primary culverts and potentially additional culvert and erosion repair sites. Interested firms must submit a written response by June 20th, 2025, including a statement of intent to bid, the completed Sources Sought Information Request Form, a three-year project history, and an outline of resources and key personnel. The project is initially targeted for small business contractors, with the possibility of becoming an unrestricted solicitation if insufficient small business competition exists.

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File Type Posted
Sources Sought Notice.docx DOCX document
CJAG 2025 Culvert Sites.docx DOCX document

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Text version

Sample 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:

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.

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:

NGB 2025

NAICS Code:
Name:
Company Name:
Company Address SAM:
Cage Code:
DUNS Number:
Title:
Large business: Off
Small disadvantaged business: Off
HUBZone Business: Off
SDVOSB: Off
Small business: Off
8(a) program: Off
Woman-Owned business: Off
bonding capability: [$1M]

File details come from the government source that posted it. Updated .