SS Inf Req Form.pdf

PDF 75 KB Posted

Attached to
Montana MULTIPLE AWARD TASK ORDER CONTRACT (MATOC) SOURCES SOUGHT Federal contract opportunity
Solicitation number
W9124V24R0002
Issued by
Department of the Army Montana Army National Guard

About this file

This document contains a sources sought notice and market research request from the U.S. Army Montana Army National Guard for multiple award task order contracts to support construction and maintenance projects at Montana Air National Guard bases. Interested small businesses are requested to provide company information, bonding and past performance details, and confirm their ability to respond within three hours to emergencies in Great Falls, Montana. The contracts would have a total value between $2,000 and $7,000,000 per task order, not exceeding $25,000,000 total, and a period of performance of up to five years. Responses are due by email to the point of contact provided by the closing date posted on SAM.gov. The NAICS code is 236220 for construction projects between $2,000 and $7,000,000, and the small business size standard is average annual revenue of $45 million for the past three years.

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Text version

SOURCES SOUGHT INFORMATION REQUEST 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:

Address as registered in System for Award Management (SAM):

Unique Entity ID and CAGE Code:

DUNS Number:

Socioeconomic status for the listed NAICS code - Please check all that apply:

______ By initialing this line, I confirm that my firm is registered in the System for Award Management (SAM) website (https://www.sam.gov) with the socioeconomic 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.

Large Business

Small Disadvantaged Business

HUB Zone Business

Service-Disabled Veteran-Owned Small Business (SDVOSB)

8(a) Program Participant

Woman-Owned Business

Small Business

2. BONDING CAPABILITY

By responding to this Sources Sought Notice, I CONFIRM my firm, individually and/or through association with joint ventures or teaming partners, has bonding capability of amounts filled in below.

Individual Project Bonding:

Total Aggregate Bonding Capability:

3. 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.

PRINT NAME/TITLE:

PHONE:

EMAIL:

SIGNATURE:

fc-int01-generateAppearances:
SIGNATURE:_79UvDzmZjHjRuJwy3gZpDQ:
EMAIL:_6pX8*yPACPRfH82oUuTAJw:
PHONE:_78s4d0qRjnECoDNKMd80HA:
PRINT NAME/TITLE:_ad1vI-1RTROcd7x2kOEy5Q:
_ Total Aggregate Bonding_snhXyW-U47375CdjcIQEgg:
_ Individual Project Bond_BxN7lrh0IeM3Rh15xK9hVA:
Socioeconomic status for the l_6_CnzsvLBQ13tym47RDbtFRw: Off
Socioeconomic status for the l_5_CnzsvLBQ13tym47RDbtFRw: Off
Socioeconomic status for the l_4_CnzsvLBQ13tym47RDbtFRw: Off
Socioeconomic status for the l_3_CnzsvLBQ13tym47RDbtFRw: Off
Socioeconomic status for the l_2_CnzsvLBQ13tym47RDbtFRw: Off
Socioeconomic status for the l_1_CnzsvLBQ13tym47RDbtFRw: Off
Socioeconomic status for the l_0_CnzsvLBQ13tym47RDbtFRw: Off
DUNS Number:_46zfLllHe*lMPiB2Yypi*Q:
CAGE Code:_wLwhSj6OLD2aFsf-Hus6aw:
Address as registered in Syste_ewLCfwtZqfErB2AEws7e6Q:
Company Name:_E-w7MD9xYacI82OwIpv4gA:
NAICS CODE:_LTJsrpgysDO1AuUQbfditQ:

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