Sources Sought Response Form - PR - EHMS.pdf
PDF 121 KB Posted
- Solicitation number
- PANNGB-26-P-0000-033123
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Response Form template used by the federal government to identify potential contractors for upcoming solicitations. The form requests comprehensive company information including company name, address, CAGE Code, and SAM UEID Number to verify registration in the System for Award Management.
Respondents must declare their socio-economic status by selecting applicable categories such as small business, small disadvantaged business, 8(a) program participant, HUB Zone business, woman-owned business, or Service-Disabled Veteran-Owned Small Business (SDVOSB). The form also requires firms to indicate their Cybersecurity Maturity Model Certification (CMMC) level, with options ranging from Level 1 to Level 3. Additionally, firms must confirm bonding capability for individual construction projects and aggregate amounts, with standard bonding tiers of $1M, $5M, $10M, $25M, or $50M. A authorized representative must sign the certification statement, acknowledging that incomplete responses or missing documentation may result in exclusion from the government's determination regarding set-aside solicitation eligibility under Federal Acquisition Regulation Part 19. This template is designed to streamline the pre-solicitation process and inform government contracting decisions regarding small business set-asides.
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| File | Type | Posted |
|---|---|---|
| PR - DPW (PANNGB-26-P-0000-033123) Sources Sought.pdf |
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Text version
Sources Sought Response Form
Primary NAICS Code:
Interested firms please respond with this information form and the following requested information.
Please complete all sections of the document.
Company Information.
Company Name:
Company Address:
CAGE Code:
SAM UEID 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)
Cybersecurity Maturity Model Certification (CMMC) Certification Level:
( ) Level 1 ( ) Level 2 ( ) Level 3
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.
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 delete this instruction in red) for individual construction projects and $ aggregate.
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: Signature:
Title:
http://www.sam.gov/
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File details come from the government source that posted it. Updated .