Sources Sought Response Form.pdf

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Attached to
Exhaust Capture System for Fire Department
Solicitation number
W50S9J-26-B-0002
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About this file

This is a Sample Sources Sought Response Form template issued by NGB 2025 for use in federal contracting activities. The form is designed for interested firms to express capability and interest in potential contract opportunities, with all sections requiring completion for consideration.

The form requires companies to provide standard identifying information including company name, SAM registration address, CAGE code, and DUNS number. Respondents must declare their socio-economic status by selecting applicable categories: large business, small business, small disadvantaged business, 8(a) program participant, HUB Zone business, woman-owned business, or service-disabled veteran-owned small business (SDVOSB). Companies must confirm current registration in the System for Award Management (SAM) under the specified NAICS code or indicate that registration is in process. The form also requires firms to confirm bonding capability for individual construction projects, with a minimum threshold of $1M specified in the sample. A certification statement must be signed by an authorized company representative, acknowledging that incomplete responses or failure to provide required documentation may result in the firm being excluded from the Government's determination regarding set-aside solicitation eligibility under 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 .