Sources Sought Response Form.pdf

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Attached to
122FW - Fort Wayne, IN - Bldg. 770 Fire Crash/Rescue Station Addition/Alteration
Solicitation number
ATQZ229030
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About this file

This document is a Sample Sources Sought Response Form designed to gather information from potential contractors for a federal procurement opportunity. The form requires companies to provide key details including company name, SAM registration address, CAGE code, DUNS number, and socio-economic status (such as small business, 8(a) program participant, HUB Zone business, or Woman-Owned business). Companies must also confirm their bonding capability for construction projects, with a minimum bonding amount of $1M indicated. The form includes a certification section warning that incomplete responses or failure to provide required documentation may disqualify a firm from being considered for the potential set-aside contract, in accordance with Part 19 of the Federal Acquisition Regulation.

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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 .