01 10 10_Att. 21 -Site Visit Registration Form.XLSX

XLSX spreadsheet 13 KB Posted

Attached to
Stare IIMC Barracks Renovation Ukraine
Solicitation number
W912GB20R0045
Issued by

About this file

This document contains a site visit registration form and details for a federal contract opportunity for construction services. The site visit registration form requests company and individual attendee information for a pre-proposal site visit regarding Solicitation Number W912GB20R0045 from the Department of the Army European Command. This is a design-build project for interior work and systems at a three-story Barracks building to be located on the International Interagency Multifunctional Training Center campus near Stare, Ukraine. Interested offerors are required to register company representatives and subcontractors attending the pre-proposal site visit using the provided form, which requests company and attendee identifying information including names, titles, passport information and contact details.

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Sheet1

W912GB20R0045
INSTRUCTIONS: Please complete a line for each individual from your company that will attend representing your firm. Please also include subcontractors. If you do not have a NCAGE, DUNS, or SAM registration, please leave blank (not needed for subcontractors).
Company InformationPrimary Point of Contact (POC) Information

(Firstname Lastname) Company Name Country of Incorporation Company CAGE/

NCAGE

CodeCompany DUNS NumberSAM Registered?
(Yes or No)Primary Point of Contact (POC)
(Firstname Lastname)POC Title
(President, Proposal Manager, Etc.)Passport Country Issued By
(Required!)Passport Number
(Required!)POC EmailPOC Phone

(including +XXX country code)

Company NameUkraine, etc.12345123456789Name 1EngineerUkraine, etc.123456789name@domain+385…
Company NameUkraine, etc.12345123456789Name 2PresidentUkraine, etc.123456789name@domain+385…

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