Sources Sought Response Form.pdf
PDF 346 KB Posted
- Attached to
- Install Multiplex Water Softener Federal contract opportunity
- Solicitation number
- 12505B22R0005
About this file
This document contains a sources sought notice and related federal contract opportunity. The Department of Agriculture Agricultural Research Service is conducting market research to determine if there are adequate small businesses available to install a multiplex water softener. Responses are requested from all socioeconomic categories by April 12, 2022 at 2:00 pm Central Time. The scope of work involves delivering and installing a water softener, brine tank, control valves, piping, and other components with a magnitude of construction between $250,000 to $500,000. Interested vendors must complete the attached sources sought response form and capabilities statement, and ensure registration in the System for Award Management under NAICS code 238220 by the specified deadline.
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| File | Type | Posted |
|---|---|---|
| NDAA 889 Certification.pdf |
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Text version
SOURCES SOUGHT RESPONSE FORM
NAICS Code: ______________
Interested vendors 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 the System for Award Management (SAM):
CAGE Code: ______________________________
DUNS NUMBER: ___________________________
Socio-economic status for the 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.
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: ____________________________________
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