05 RLP 36C10F23R0095 Offering Entity Acknowledgement Form Allentown PA CBOC.pdf
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- Attached to
- X1DB--Allentown PA OPC - RLP Extension - Electric Vehicle Supply Equipment -EVSE- Requirements
- Solicitation number
- 36C10F23R0095
About this file
This document is an Offering Entity Acknowledgement Form for a solicitation to provide construction services for an outpatient clinic in Allentown, Pennsylvania. The solicitation number is 36C10F23R0095 issued by the Department of Veterans Affairs Office of Construction and Facilities Management. Respondents must complete the form to attest that their information is accurate for evaluation purposes, including their entity name, address, UEI number, tax ID number, and authorized official contact details. The form also requires the respondent to specify its size status as a prime contractor and whether it is certified in SAM under the applicable NAICS code. Completing and signing the form serves as the respondent's acknowledgment for the solicitation.
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Text version
Offering Entity Acknowledgement Form Allentown, PA – CBOC
RLP ID: 36C10F23R0095
The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No. 36C10F23R0095. Failure to provide the required information may deem your proposal non-responsive.
Offeror Information
Entity Name:
Address:
UEI Number:
Tax Identification Number:
Authorized Official Name:
Authorized Official Phone Number:
Authorized Official Email:
Authorized Official is Listed in Entity SAM Representations: Yes No Authorized Official is Listed in Entity Operating Agreement: Yes No Date of Submission:
Time Specified for Receipt of Offers:
Offeror Entity/Prime Contractor Status
Prime Contractor Size Status: SDVOSB VOSB SB Offer Entity Currently Certified in SAM under NAICS 531120: Yes No Offer Entity Currently Verified in VetCert: Yes No
Offering Entity POC Signature Date
Offering Entity POC Name
File details come from the government source that posted it. Updated .