Sources Sought Response Form.pdf
PDF 84 KB Posted
- Attached to
- OFFICE SPACE RENOVATION BLDG 145
- Solicitation number
- W50S8A26BA010
About this file
This is a Sample Sources Sought Response Form template used to collect information from interested firms regarding a federal contract opportunity.
The form requests comprehensive company information including name, SAM registration address, CAGE Code, and DUNS Number. Respondents must identify their socio-economic status by selecting all 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). Firms must confirm registration in the System for Award Management (SAM) under the specified NAICS code with the identified socio-economic status, or confirm that registration is in process. The form also requires firms to specify their bonding capability for individual construction projects, with options to indicate bonding amounts of $1M, $5M, $10M, $25M, or $50M (either individually or through joint ventures and teaming partners). The certification section requires a signature from an authorized company representative and warns that incomplete responses or failure to provide required documentation may result in the firm being excluded from the Government's consideration for a set-aside solicitation 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 $ (fill in estimate of $1M, $5M, $10M, $25M or $50M delete this instruction in red) 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:
File details come from the government source that posted it. Updated .