Sources_Sought_Response_Form.pdf

Sources Sought - Response Form

Project Name: CONSTRUCT NEW FIRE CRASH RESCUE STATION NAICS Code: 236220 Small Business Size Standard: $36,500,000.00 in average annual receipts for the past three years

All interested concerns shall respond in writing to Melissa Grice via email at melissa.j.grice.mil@mail.mil by DECEMBER 19, 2018, 2:00 P.M. CST. The response shall not exceed five typewritten pages and must include:

(1) This Sources Sought Response Form completed and signed.

(2) A positive statement of intent to bid as a prime contractor.

(3) A brief outline of key personnel, resources, and subcontractors that would be used to accomplish the contract.

(4) A listing of comparable projects completed during the past three years for both government and private industry.

Include as part of this listing: type of project, dollar value, location, 'owner' point of contact, contract number, and indicate whether you were prime or subcontractor (provide prime contractor Name/POC if performed as a sub).

1. Company Information.

Company name:

Company Address:

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. Bonding Capability.

By responding to this Sources Sought Notice, I confirm that my firm, individually or through association with joint ventures or teaming partners, has bonding capability of at least $10M for individual construction projects.

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: ______________________________