SourcesSoughtInformationRequestForm.pdf
PDF 523 KB Posted
- Attached to
- Emergency Repairs Building P-1 Sources Sought Federal contract opportunity
- Solicitation number
- PANNGB-21-P-0000-004407
- Issued by
- Department of the Army National Guard
About this file
This document contains a sources sought notice and information request form for emergency repairs to Building P-1 located at the South Portland Air National Guard Station in South Portland, Maine. The project magnitude is estimated between $250,000 and $500,000. Interested parties must respond in writing by April 26, 2021 with a statement of intent to bid as a prime contractor, a completed information request form, and details of relevant past project experience from the past three years where the party served as either a prime contractor or subcontractor. Responses should include the project type and value, contract number, location, and point of contact. Interested parties must also provide an outline of resources, subcontractors, and key personnel that would be used for the contract. If an insufficient number of small businesses are available, the project may be advertised without restrictions. Responses should be emailed to the specified contracting office at the 101st Air Refueling Wing of the Maine Air National Guard.
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Text version
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 System for Award Management (SAM):
CAGE Code:
DUNS 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.
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 $__________ 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: __________________________________
NGB April 2017 A-25 http://www.sam.gov/
| NAICS Code: 236220 |
| joint ventures or teaming partners has bonding capability of at least: |
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File details come from the government source that posted it. Updated .