36C25220B0007-009.pdf

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676-19-108 Upgrade B23, 2nd Floor Tomah VA Medical Center - Tomah, WI
Solicitation number
36C25220B0007
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About this file

This document contains a pre-solicitation notice and contractor information template for a construction project at the Tomah VA Medical Center in Tomah, Wisconsin.

The project involves renovating approximately 8,500 square feet of administrative space on the second floor of Building 23 to prevent water intrusion in walls on the southwest corner and roof area. The work includes lead paint and mold abatement. The period of performance is 180 calendar days from notice to proceed. The estimated price range is between $500,000 and $1,000,000. The North American Industry Classification Code is 236220 for general construction, and the small business size standard of $36 million applies. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses. A pre-bid conference and site walk-through is scheduled for the week of November 4, 2019. Interested vendors should monitor www.FBO.gov for the solicitation package and any amendments.

The contractor information template requests company details and points of contact for legal binding authorities, primary contacts, past performance references, and tax/DUNS/CAGE numbers.

36C25220B0007 S02 36C25220B0007 Att7 Contractor Information 676-19-108.pdf

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Solicitation 36C25220B0007 Attachment 7 676-19-108 Upgrade B23, 2nd Floor Contractor Information

CONTRACTOR INFORMATION

Name of Company: ___________________________________________

Address: ___________________________________________

City, State, Zip Code: ___________________________________________

Name(s) and Title of Company 1.) ________________________________________

Legal Binding Authority(s) 2.) ________________________________________

3.) _______________________________________

4.) _______________________________________

Primary Point of Contact: ___________________________________________

E-Mail Address: ___________________________________________

Address: ___________________________________________

City, State, Zip Code: ___________________________________________

Phone No: ___________________________________________

Fax No: ___________________________________________

TAX ID Number: ___________________________________________

DUNS Number: ___________________________________________

Experian Number: ___________________________________________

Past Performance Point of Contact (within your company), include name and email address:

File details come from the government source that posted it. Updated .