Sources Sought Response Form.pdf
PDF 110 KB Posted
- Solicitation number
- W9133L-24-X-0Z88
About this file
This document contains a sources sought notice and response form for a proposed construction project. The Wisconsin Air National Guard, 128th Air Refueling Wing intends to issue a solicitation to construct an indoor small arms range at General Mitchell International Airport - Air National Guard Base in Milwaukee, Wisconsin. The project scope involves construction of a 10-lane live fire range along with associated site improvements, and has an estimated value between $5 million and $10 million. Interested parties should respond to the sources sought notice by February 14th, 2024 using the provided response form to indicate bonding capacity and socioeconomic status. Responses should also include a description of past relevant projects and available resources to complete this work. The response will help the agency determine whether to set aside the forthcoming solicitation part or all for small businesses.
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Text version
A-20NGB 2023
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 SAM:
CAGE Code:
UEI 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) 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:
| NAICS Code: |
| joint ventures or teaming partners has bonding capability of at least: |
| Name: |
| undefined: |
| Check Box1: Off |
| Check Box2: Off |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Text8: |
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