Info Form.docx
DOCX document 17 KB Posted
- Attached to
- Occupational Health Medical Lab Exams
- Solicitation number
- W912L6-25-Q-OHMLS
- Issued by
-
Department of the Army National Guard
About this file
This is a Sources Sought - Contractor Information Form for Occupational Health Medical Surveillance Exams issued by the Oklahoma Army National Guard. The document is part of a market research effort to identify potential contractors for medical surveillance examinations for full-time and temporary personnel who may be exposed to workplace health hazards. The solicitation (W912L6-25-Q-OHMLS) targets small businesses, with preferences for 8(a), HUBZone, Service-Disabled Veteran-Owned, and Economically Disadvantaged Women-Owned Small Businesses. The government seeks contractors capable of performing medical exams that meet Occupational Safety and Health Administration (OSHA) requirements, with the form requesting detailed information about company capabilities, past performance, technical skills, and ability to manage the task. Importantly, this is a pre-solicitation market research document and not a formal Request for Proposal, with no guarantee of contract award.
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| File | Type | Posted |
|---|---|---|
| PWS Occupational Health Medical Lab Exams.pdf |
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Text version
SOURCES SOUGHT – CONTRACTOR INFORMATION FORM
For Occupational Health Medical Surveillance Exams
Use this form to provide contractor’s general information. Please limit response to one page. The box at the bottom of this form may be used to clarify any requested information.
| 1. Contractor Information: |
| DUNS: |
| CAGE Code: |
| Firm Name: |
| Address: |
| Name of POC for firm: |
| Phone Number of POC: |
| Email of POC: |
2. Type of Business: (check all that apply)
| |_| SBA certified 8(a) firm |
| |_| SBA certified HUBZone Small Business |
| |_| Service-Disabled Veteran-Owned Small Business |
| |_| Small Business |
|_| Economically Disadvantaged Women-Owned Small Business
3. Do you have any recommendations to the “Draft” Performance Work Statement? Explain on a separate page.
4. Is your company licensed to operate in the state of Oklahoma?
5. This space may be used to provide any additional information about your company:
Please DO NOT change content of the form
File details come from the government source that posted it. Updated .