Sources Sought Information Request Form.docx

Sources Sought Information Request Form

Project Name: After Deployment Adaptive Parenting Curriculum (ADAPT)

Brief Description: To provide National Guard, Reserve, and Active Duty Members and their families with information, services, referral, and proactive outreach opportunities that extend beyond the deployment cycle resilience programs. The Arizona National Guard BYR program will provide research-validated Adaptive Parenting curriculum and resources to Service Members in Arizona using a model that is tailored specifically for the reserve component and designed to improve and strengthen family bonds throughout the deployment cycle.

NAICS Code: 611430

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):

( ) 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 ID: ____________________________________________

2. Socio-economic status for the listed NAICS code – please check all that apply:

( ) Large Business ( ) Small Business

( ) Small Disadvantage Business ( ) 8(a) Program Participant

( ) HUB Zone Business ( ) Women-Owned Business

( ) Service-Disabled Veteran-Owned Small Business (SDVOSB)

The firm must be registered entity in System for Award Management (SAM): https://sam.gov/ 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

3. Examples of similar work: Provide at least three but no more than five projects completed within the last three years that are similar in nature to the work being referenced to. Include the following information:

Type of project

Dollar value of the project

Contract number (if applicable)

Location of the work

Reference

Brief description (1-2 paragraphs)

Identify if the project was performed for a government or private entity. Indicate if your firm was a prime contractor or subcontractor. If you firm was a subcontractor, provide the percentage of work that was awarded and completed on the project by your firm.

4. Resources: Provide a brief outline of resources, subcontractors, and key personnel to include credentials of personnel that your firm would use to complete this project. Please keep this documentation to 1 page.

5. Certification:

In the event our firm meets the criteria listed in the solicitation when advertised and as a result of the submission of this documentation, it is our firms’ intention to submit a quote as a prime contractor.

Signature: ___________________________ Printed Name: ___________________________

Title: _________________________________________________________________________

Phone No. _____________________ E-mail Address: _______________________________

Please e-mail the completed form and attachments to sabreana.m.william.civ@army.mil; vasile.insuratelu.mil@army.mil. Submission of this form and attachments will not qualify your firm for the referenced project. The Information being requested and received is strictly for the purposes of market research and intended for Government use only. THIS IS NOT A REQUEST FOR QUOTES. NO SOLICITATION, PLANS OR SPECIFICATIONS ARE AVAILABLE FOR THIS PROJECT AT THIS TIME. THERE WILL BE NO “SUCCESSFUL OFFEROR” AS A RESULT OF THE RECEIPT OF THIS INFORMATION.

Commonly asked Questions

Q1: What is a sources sought?

A1: The intent of a sources sought is to assist the government contract activity to identify potential qualified Small Business, Small Disadvantaged Business, 8(a) program participant, HUB Zone Business, Woman-Owned Business and Service-Disabled Veteran-Owned Small Business (SDVOSB) that can perform a specific service. Following a review of the responses to this synopsis the Government identifies potential contract set asides or stipulations to bolster opportunities for small and disadvantage businesses.

Q2: When can I submit a quote?

A2: When the USPFO for Arizona issues a synopsis it will have information regarding the date the solicitation will be available as well as other pertinent information regarding the project. The solicitation will be available during this Fiscal Year. Interested offerors should follow this announcement on the Federal Business Opportunities to ensure they received updated information regarding this project.

Q3: I am subcontractor. Will I be able to submit a quote for this project?

A3: Any contractor can submit a quote and it will be evaluated in accordance with the evaluation criteria in the solicitation. Reference A1, the solicitation has not been issued yet.