Sources Sought Response Form.pdf
PDF 346 KB Posted
- Solicitation number
- 12505B23Q0009
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 provide bulk chemical for boiler and chiller water treatment and services at the National Centers for Animal Health in Ames, Iowa. The base period of performance is one year with four one-year option periods. Services include providing a comprehensive water treatment program for chillers, cooling towers, steam boilers, and associated water loops and piping systems. Interested vendors must complete the attached response form and capabilities statement by November 9th, 2022 to be considered, including small business socioeconomic status and registration in the System for Award Management. The government will determine whether to set aside the procurement for small businesses or proceed with full and open competition.
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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 .