Sources_Sought_Response_Form.pdf
PDF 149 KB Posted
- Solicitation number
- W50S7T25QA010
About this file
The document is a Sources Sought Response Form for a potential federal contract opportunity related to breathing air system maintenance and repair. The form is designed for potential contractors to provide company information and self-identify their socio-economic status, with options including Small Business, Small Disadvantaged Business, 8(a) Program Participants, HUB Zone Business, Woman-Owned Business, and Service-Disabled Veteran-Owned Small Business. Respondents must be registered in the System for Award Management (SAM) and provide their CAGE Code and UEI Number.
The form includes a certification section where companies acknowledge that incomplete responses or failure to provide required documentation may disqualify them from the government's consideration for a set-aside contract. The form is specifically tied to NAICS Code 333413 (Industrial and Commercial Fan and Blower and Air Purification Equipment Manufacturing) and requires a signature from an authorized company representative. The purpose is to gather market research information for a potential solicitation for preventative maintenance and repair services for breathing air systems at the Illinois National Guard's 182nd Airlift Wing in Peoria, IL.
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Text version
Sources Sought Response Form
NAICS Code: 333413
Interested firms please respond with this information form and the following requested information.
Please complete all sections of the documents.
1. Company Information
Company Name:
Company Address as registered in System for Award Management (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 Participants ( ) 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 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:___________________________________ https://www.sam.gov/
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File details come from the government source that posted it. Updated .