Sources Sought Response Form.pdf

PDF 346 KB Posted

Attached to
Replace Epoxy Floor Coating Federal contract opportunity
Solicitation number
12505B22R0011
Issued by
Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Midwest Area

About this file

This sources sought notice from the Department of Agriculture Agricultural Research Service Field Research Implementation and Information Delivery Midwest Area is requesting capability statements from companies for a project to replace epoxy floor coating at multiple lab rooms and storage areas. Responses are requested from small, HUBZone, 8(a), women-owned, and veteran-owned small businesses. The scope of work involves removing existing failing epoxy floor coatings and cove base in seven lab rooms and potentially installing VCT and rubber base in one storage room. Dust mitigation is required. Companies must have experience moving lab appliances and equipment. Capability statements are due by May 20, 2022 and must include a completed sources sought response form indicating socioeconomic status. Companies must be registered in SAM under the applicable NAICS code 238330 with a size standard of $16.5 million and must have NDAA 889 certification. The anticipated magnitude of construction is between $250,000 and $500,000.

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NDAA 889 Certification.pdf 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: ____________________________________

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