Sources Sought Response Form.pdf
PDF 198 KB Posted
- Attached to
- John Deere 5525 Tractor Repair Federal contract opportunity
- Solicitation number
- 12505B24Q0060
About this file
This document is a sources sought notice from the United States Department of Agriculture Agricultural Research Service for repair services for a John Deere 5525 tractor. The scope of work involves providing all necessary labor, parts, and materials to complete the repair and replacement of the clutch assembly with original equipment manufacturer parts. Responses are requested from small, small disadvantaged, 8(a), HUBZone, women-owned, and service-disabled veteran-owned small businesses. Responses in the form of capability statements and a completed sources sought response form are due by January 29, 2024 at 2:00 pm Central Time and should be emailed to Melissa Grice. The NAICS code for this opportunity is 811310 with a size standard of $12.5 million.
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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: ______________________________
SAM UEI 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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