A2 Sources Sought Info Request Form.docx
DOCX document 37 KB Posted
- Solicitation number
- W50S8H27Q0003
About this file
This is a Sources Sought Information Request Form for a pre-solicitation opportunity issued by the Department of the Army New York Army National Guard for Common Access Card (CAC) facility entry door access controls at Niagara Falls ARS, NY. The selected NAICS code is 335999 with a small business size standard of 600 employees, and the Federal Supply Classification is 6350. The base scope requires CAC access controls to be installed on three storage warehouse entry doors, with potential expansion to three additional facility entry doors and Closed Circuit Television (CCTV) monitoring installation if funding is available. No bonding requirement has been specified for this opportunity.
Interested firms must submit a completed and signed Sources Sought Information Request Form along with: a statement of interest and capabilities (not to exceed five typewritten pages), a listing of previous contracts from the past three years (government and private sector) including service descriptions, dollar values, contract numbers, locations, and points of contact, and a brief outline of resources, subcontractors, and key personnel licensed to perform these services in New York State with relevant license types. Respondents must confirm their company address matches their SAM registration, provide their UEI number, and verify registration in SAM under the specified NAICS code and socio-economic status. Completed forms should be emailed to philip.rott@us.af.mil and jennifer.dewispelaere@us.af.mil. The opportunity is designated for small business entities.
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Text version
Sources Sought Information Request Form
Project Name: Common Access Card (CAC) Facility Entry Door Access Controls, Niagara Falls ARS, NY
Bonding requirement: No NAICS Code: 335999
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 at https://www.sam.gov/SAM/ :
( ) I have confirmed that my address listed above is exactly the same as listed in SAM ( ) The above address is not the same in SAM, but registration is being corrected to the above listed address
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)
The firm must be registered in SAM (https://www.sam.gov/SAM/ ) with the socio-economic status identified above and the NAICS code specified in the sources sought notice. If the firm’s SAM record does not include this project’s NAICS code, the firm will not be considered.
( ) I have confirmed that my firm is registered in SAM for the NAICS code and business type selected ( ) My firm is not registered in SAM with the NAICS code and business status selected, but the firm qualifies and registration is in process ( ) My firm is not registered in SAM for the identified NAICS code
Statement of interest/capabilities statement shall not exceed five typewritten pages statement of intent to offer a quote with capabilities.
A completed and signed Sources Sought Information Request Form (this form) A listing of previous contracts withing the past three years, both for government and private industry. The type of services provided, the dollar value, contract number, location, and point of contact are to be included.
A brief outline of resources, subcontractors, and key personnel licensed to perform these services in NYS and the type of license they possess that would be used to accomplish the contract.
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 consideration for this project sources sought notice.
| Signature: | Name: |
| Title: | Phone Number: |
Email completed form to philip.rott@us.af.mil and jennifer.dewispelaere@us.af.mil
File details come from the government source that posted it. Updated .