Sources_Sought_Form_v3.pdf

South Dakota National Guard MATOC Sources Sought Information Request Form

NAICS Code: 236220 Commercial and Institutional Building Construction

Interested firms - Please complete this form entirely and return it with the additional information requested. E-mail all requested information to:

Mr. Timothy Andersh, timothy.w.andersh.civ@mail.mil

1. Company Information:

Company Name:

Company Address as registered in System for Award Management (SAM):

DUNS Number:

CAGE Code:

NAICS Code(s) Registered for in SAM:

Socio-economic status for the listed NAICS code 236220 - 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)

The firm must be registered in System for Award Management (SAM) https://www.sam.gov/ with the business type and socio-economic status identified above and the NAICS code specified in the sources sought notice. The firm’s (SAM) record must include this project’s NAICS code to be given consideration when offers are evaluated.

( ) I have confirmed that my firm is registered in SAM for the identified NAICS code, business type and socio-economic status selected.

( ) My firm is registered in SAM for business type and socio-economic status selected but not for the identified NAICS code although my firm is in the process of adding it.

( ) My firm is not registered in SAM but my firm qualifies and registration is in process for the identified NAICS code, business type and socio-economic status selected.

Sources Sought Information Request Form - Page 1 of 2 mailto:timothy.w.andersh.civ@mail.mil https://www.sam.gov/

2. Bonding Capability:

By responding to this Sources Sought Notice, I confirm that my firm, individually or through an association with joint ventures or teaming partners, has bonding capability of at least:

Individual Project Bonding:

Total Aggregate Bonding Capability:

3. Examples of similar work:

( ) I have attached the Project Reference Sheet for similar work that our firm has performed in the past three years for both Government and private industry.

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

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 sources sought notice.

Signature:

Name:

Title:

Phone Number:

Date:

Sources Sought Information Request Form - Page 2 of 2 Dated 190520