USPFO-DE_FIG_Annual_Training_Subsistence_Sources_Sought_Request_Information_Form.docx

NATIONAL GUARD BUREAU

Office of the United States Property and Fiscal Officer, Delaware Grier Building, 1161 River Road New Castle, Delaware 19720 – 5199

NGDE-PFO-RM

FY13 Financial Guidance and Year End Financial Closeout Procedures Memorandum of Instruction (MOI)

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:

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. Examples of similar work:

( ) I have attached three references for similar work that our firm has performed.

Certification.

( ) I have not attached three references of similar work that our firm has performed.

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 consideration for this project sought notice.

Name: __________________________________

Title: __________________________________

Signature: __________________________________ image1.png