Sources Sought Response Form.pdf

PDF 188 KB Posted

Attached to
Repair AC Systems, Bldg 501, Maui, HI
Solicitation number
W50SLF-25-X-1A0U
Issued by

About this file

The document is a Sample Sources Sought Response Form for a federal contract opportunity to repair AC systems at Building 501 in Maui, Hawaii. The project is being conducted by the Hawaii Air National Guard Base, with an estimated contract value between $250,000 and $500,000. Interested small businesses are requested to submit a written notice of intent to bid by August 8, 2025, including a completed Sources Sought Response Form, a listing of past project completions, and an outline of resources and key personnel.

The form requires companies to provide detailed information including company name, SAM registration, CAGE code, Unique Entity ID, and socio-economic status (such as small business, 8(a) program, HUB Zone, or service-disabled veteran-owned). Respondents must confirm bonding capability for individual construction projects and understand that incomplete submissions may disqualify them from the government's consideration. The solicitation is primarily seeking small business contractors, with the potential for an unrestricted advertisement if insufficient small business sources are identified.

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Text version

Sample Sources Sought Response 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:

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

CAGE Code:

Unique Entity ID 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 (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 $ 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 2025

NAICS Code:
Name:
Company Name:
Company Address SAM:
Cage Code:
DUNS Number:
Title:
Large business: Off
Small disadvantaged business: Off
HUBZone Business: Off
SDVOSB: Off
Small business: Off
8(a) program: Off
Woman-Owned business: Off
bonding capability: [$1M]

File details come from the government source that posted it. Updated .