Sources_Sought_Information_Request_Form.pdf

Sources Sought Information Request Form

Project Name: Moffett Guardian Angel Capabilities Training Simulator

NAICS: 332439

1. Company Information:

Company Name:

Company Address as registered in CCR:

Address:

City: State: Zip:

Check One Box [ ] I have confirmed that my address listed above is exactly the same as listed in CCR.

[ ] The above address is not the same in CCR, but registration is being corrected to the above listed address.

Duns Number:

Socio-economic status for the listed NAICS code – 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)

The firm must be registered in CCR (www.ccr.gov) with the socio-economic status identified above and the NAICS code specified in the sources sought notice. If the firm’s CCR record does not include this project’s NAICS code, the firm will not be considered.

Check One Box [ ] I have confirmed that my firm is registered in CCR for the NAICS code and business type selected.

[ ] My firm is not registered in CCR with the NAICS code and business status selected, but the firm qualifies and registration is in the process.

[ ] My firm is not registered in CCR for the identified NAICS code

2. Examples of Similar Work:

Check One Box [ ] I have attached three references for similar work that our firm has performed.

[ ] I have not attached three references of similar work that out firm has performed.

http://www.ccr.gov/

3. 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 consideration for this project sources sought notice.

Signature: ________________________________________________________ Name:

Title:

Phone Number: