Attachment 0002 - IMX Industry Day Registration Form.pdf
PDF 527 KB Posted
- Attached to
- Sources Sought for Insensitive Munition Explosive - 104 (IMX-104) Production Capability Federal contract opportunity
- Solicitation number
- W519TC-25-R-0041
About this file
This document is a Registration Form for an Insensitive Munitions Explosive (IMX) Production Capability Industry Day scheduled for the week of April 21, 2025, at the Holston Army Ammunition Plant in Kingsport, Tennessee. The form requires mandatory registration for interested vendors by April 11, 2025, with a maximum of four representatives per company. Vendors must provide detailed business and individual attendee information, including company details, business type (small or large), and each representative's contact information and citizenship.
The registration form also requests authorization to share attendee information to facilitate open communication and potential subcontracting/teaming arrangements. The associated federal contract opportunity (Solicitation W519TC-25-R-0041) is a pre-solicitation seeking sources interested in designing, constructing, and commissioning a facility for manufacturing IMX-104 as a Government Owned, Contractor Operated (GOCO) facility at the Holston Army Ammunition Plant or another location within the Continental United States. Interested vendors must email the completed registration form to Mr. Warren Stropes and Ms. Josie Hennings, with the specific industry day date and time to be provided no later than April 14, 2025.
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Text version
REGISTRATION FORM
Insensitive Munitions Explosive (IMX) Production Capability Industry Day
Solicitation W519TC-25-R-0041
Date: Week of April 21, 2025 Holston Army Ammunition Plant Kingsport, TN 37660
The Government intends to hold an Industry Day for IMX Production Capability at the Holston Army Ammunition Plant located in Kingsport, Tennessee. Interested vendors must complete the information on this form and provide it no later than April 11, 2025, to Mr. Warren Stropes at warren.l.stropes.civ@army.mil and Ms. Josie Hennings at josephine.l.hennings.civ@army.mil A date and time for this Industry Day will be provided no later than April 14, 2025.
NOTE: This is a fillable Adobe pdf file. Complete the form and email to the above addresses.
REGISTRATION IS MANDATORY AND STRICTLY ENFORCED.
Business Information
Company Name:
Company Cage Code:
US or Foreign Owned (Name of Country):
Company Address:
Business Phone Number(s):
Small Business: Large Business:
*The Government requires information for each individual attending for any interested vendor. Vendors shall complete this Registration Form, including the information on the following page, for each representative attending (limited to four) per vendor.
Please indicate below if you desire a one-on-one meeting with the Government. If indicating yes, please provide any information on desired topics of discussion.
mailto:warren.l.stropes.civ@army.mil
Individual Registration
The Government requires the following information for each individual attending
Industry Day:
Name of Representative #1:
Title:
Work Phone:
Email:
Citizenship:
Name of Representative #2:
Title:
Work Phone:
Email:
Citizenship:
Name of Representative #3:
Title:
Work Phone:
Email:
Citizenship:
Name of Representative #4:
Title:
Work Phone:
Email:
Citizenship:
Release of names and information of Industry Day attendees:
The Government intends to share information obtained in relation to Industry Day including, but not limited to, company names, attendee list, and contact information.
The purpose is to facilitate open communication and subcontracting/teaming arrangements.
Before releasing the information, the Government requests authorization to do so.
Please sign below to authorize release.
SIGNATURE
PRINTED NAME
TITLE
| Company Name: |
| Company Cage Code: |
| US or Foreign Owned Name of Country 1: |
| US or Foreign Owned Name of Country 2: |
| Company Address 1: |
| Company Address 2: |
| Business Phone Numbers: |
| Name of Representative 1: |
| Title: |
| Work Phone: |
| Email: |
| Citizenship: |
| Name of Representative 2: |
| Title_2: |
| Work Phone_2: |
| Email_2: |
| Citizenship_2: |
| Name of Representative 3: |
| Title_3: |
| Work Phone_3: |
| Email_3: |
| Citizenship_3: |
| Name of Representative 4: |
| Title_4: |
| Work Phone_4: |
| Email_4: |
| Citizenship_4: |
| PRINTED NAME: |
| TITLE: |
| Text2: |
| Check Box3: Off |
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