A04_Sources_Sought_Information_Request_Form_OHWS.docx

Sources Sought Information Request Form Project Name: Optimize the Human Weapon System NAICS Code: 621999

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):

DUNS Number:

Cage Code:

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.

Socio‐economic status for the listed NAICS code ‐ please check all that apply:

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. Capability:

Provide information concerning your company’s ability to provide all three types of proposed professionals; licensed Athletic Trainer (AT), licensed Physical Therapist (PT), Certified Strength and Conditioning Specialist (CSCS), or any combination of the three. Also the ability to provide an Exercise Physiologist to conduct biannual assessments and pre- habilitation recommendations for the optimization of fighter pilots in collaboration with AT, CSCS and PT.

3. Experience:

Provide information experience with multi-disciplinary approach to physical training and strength and conditioning directed at musculoskeletal and specifically spinal related strength and conditioning. Provide information regarding types of service provided (indicate whether as a prime contractor or subcontractor), type of work/programs you employed during the service (include size, scope, complexity, timeframe, government or commercial), pertinent certifications employees hold with experience levels/years of experience, etc., that will facilitate making a capability determination. Provide any experience with high intensity performance athletes, military special operations and aerospace environments.

4. Recommendations:

Identify any condition or action that may be having the effect of unnecessarily restricting competition with respect to this acquisition.

Recommendations to improve the approach and/or specifications for acquiring the identified items.

Recommendations on best qualified personnel and certifications to provide the best options in preventing spinal – back and neck injuries in fighter pilots Any other information you deem will be appropriate to the review and determination

4. 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 the Government’s determination of whether to solicit the referenced project on a set-aside basis in accordance with Part 19 of the Federal Acquisition Regulation.

Name:

Title:

Signature: