Exhibit Q- Offering Entity Acknowledgement Form_01.docx
DOCX document 36 KB Posted
- Solicitation number
- 36C25024R0130
About this file
The document is an Offering Entity Acknowledgement Form for VA Solicitation No. 36C25024R0130, a Request for Lease Proposals (RLP) for Health Services Research & Development (HSR&D) administrative office space in Ann Arbor, Michigan. The VA seeks 16,429-22,179 square feet of contiguous, modern office space with specific requirements including 90 reserved surface parking spaces, potential roof antenna installation, and proximity to amenities, transportation, and major highways.
The solicitation requires offerors to submit pricing for multiple lease term scenarios: 20-year firm, 20-year with 15-year firm, and 15-year with 10-year firm terms, each with government termination rights. Eligible offerors must be registered in SAM and can indicate their business size status (SDVOSB, VOSB, Small Business, or Large Business). The lease term commencement is anticipated for March 2025, with the space located in a designated area bounded by US 23, Maiden Lane, Fuller Road, Geddes Road, and Pontiac Trail. Offerors must comply with specific location, building, and accessibility requirements to be considered.
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Text version
Attachment G Offering Entity Acknowledgement for RLP No.: 36C25024R0130 Ann Arbor, MI The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25024R0130. Failure to provide the required information may deem the proposal non-responsive.
Offeror Information Offering Entity Name:
Address:
Offering Entity Unique Entity Identifier (SAM UEI):
Offering Entity DUNS Number:
Offering Entity Tax Identification Number:
Authorized Official Name:
Authorized Official Phone Number:
Authorized Official E-mail:
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:
Offering Entity/Prime Contractor Size Status:
SDVOSB |_| VOSB |_| Small Business |_| Large Business |_| Offering Entity Currently Certified in SAM under NAICS 531120 as defined at FAR 52.219-1 Small Business Program Representations |_| Offering Entity Currently Verified in VetCert: YES |_| NO |_| N/A |_|
| ________________________ | ____________ | |
| Offering Entity POC Signature | Date |
Offering Entity POC Name
File details come from the government source that posted it. Updated .