SAM Sources Sought Response_Form.pdf
PDF 121 KB Posted
- Solicitation number
- W912J6-26-X-2627
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought Response Form template designed for interested vendors to express their capabilities in response to a federal sources sought notice.
The form requires vendors to provide company information including registered name, System for Award Management (SAM) address, Commercial and Government Entity (CAGE) code, and Unique Entity ID (UEI) Number. Vendors must identify their socio-economic status by selecting all applicable categories: Large business, Small business, Small disadvantaged business, 8(a) program participant, HUB Zone business, Woman-Owned business, or Service-Disabled Veteran-Owned Small Business (SDVOSB). The form includes a certification statement confirming the vendor's registration in SAM under the specified NAICS code and socio-economic status, or that registration is in process. Vendors must provide a Capabilities Statement describing their relevant qualifications and experience. The certification section requires vendor contact information including the vendor point of contact, phone number, fax and/or email, and any GSA Schedules or other Government-Wide Acquisition Contract (GWAC) information. Incomplete responses, missing required documentation, or failure to sign the certification may result in the vendor's exclusion from the government's determination regarding set-aside solicitation options under Part 19 of the Federal Acquisition Regulation. A signature line is required to execute the certification.
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Text version
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.
Company Information:
Company Name:
Company Address as registered in System for Award Management (SAM):
Commercial and Government Entity (CAGE) Code:
Unique Entity ID (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)
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.
Capabilities Statement:
http://www.sam.gov/ http://www.sam.gov/
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.
Vendor Name:
Vendor POC:
Contact Ph#:
Fax and/or Email:
GSA Contract, or other GWAC information:
Signature:
| Sources Sought Response Form |
| Interested firms please respond with this information form and the following requested information. Please complete all sections of the document. |
| NAICS Code: |
| Company Information: |
| Company Name: |
| Company Address as registered in System for Award Management SAM: |
| Commercial and Government Entity CAGE Code: |
| Unique Entity ID UEI Number: |
| Vendor Name: |
| Vendor POC: |
| Contact Ph: |
| Fax andor Email: |
| GSA Contract or other GWAC information: |
| Text2: |
| Check Box3: Off |
| Check Box4: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
File details come from the government source that posted it. Updated .