Sources Sought Response Form.docx
DOCX document 23 KB Posted
- Attached to
- ADAL BUILDING 78, BCE AND FIRE FACILITY
- Solicitation number
- W912KC-27-B-1CRU
About this file
This is a Sources Sought Response Form template for commercial and institutional construction projects (NAICS Code 236220). The form requires interested firms to provide company information including name, SAM registration address, CAGE code, DUNS number, and socioeconomic status classifications (large business, small business, small disadvantaged business, 8(a) program participant, HUB Zone business, women-owned business, or service-disabled veteran-owned small business). Respondents must confirm their current SAM registration under the specified NAICS code or indicate that registration is in process.
The form also requires firms to specify their bonding capability for individual construction projects and aggregate amounts. The template serves as a pre-solicitation response mechanism for the Pennsylvania Air National Guard's ADAL Building 78 BCE and Fire Facility project (Solicitation Number W912KC-27-B-1CRU), a repair and construction addition project with an estimated value between $5,000,000 and $10,000,000 located at the 193rd Special Operations Wing in Middletown, Pennsylvania. All responses must be submitted by October 24, 2026 at 5:00 pm EDT via email to terrell.a.moore.civ@army.mil and diana.shemanski.mil@army.mil with the subject line "Sources Sought W912KC-27-B-1CRU." Required documentation includes a positive statement of intent to bid as a prime contractor, this completed form, a three-year project history (including government and private sector work), and an outline of resources, subcontractors, and key personnel.
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Text version
Sources Sought Response Form NAICS Code: 236220 (Commercial and Institutional Construction) 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:
DUNS 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 RFO Part 19 of the Federal Acquisition Regulation.
| Name: | ______________________________ | |
| Title: | ______________________________ | |
| Signature: | ______________________________ |
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