Sources Sought CONTRACTOR FORM

SOURCES SOUGHT – CONTRACTOR INFORMATION FORM

for

NETWORK CONTRACTING OFFICE 15

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. Contractor Information:

Business Name:

FORMTEXT

Address:

FORMTEXT

SAM UEI:

FORMTEXT

Name of POC for Business:

FORMTEXT

Phone Number of POC:

FORMTEXT

Email of POC:

FORMTEXT

Type of Business: (check all that apply)
FORMCHECKBOX SBA certified 8(a) firm
FORMCHECKBOX SBA certified HUBZone Small Business
FORMCHECKBOX Service-Disabled Veteran-Owned Small Business FORMCHECKBOX Veteran-Owned Small Business
FORMCHECKBOX Economically Disadvantaged Women-Owned Small Business FORMCHECKBOX Women-Owned Small Business
FORMCHECKBOX Large Business
Please identify number of projects your organization has performed at the different ranges identified below:

4. CAPABILITIES STATEMENT: