36C25220B0015-033.pdf

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Attached to
Z1DA--676-19-105 Replace Steam Condensate Lines Federal contract opportunity
Solicitation number
36C25220B0015
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12

About this file

This document contains a contractor badge request form and a pre-solicitation notice for a federal contract opportunity. The contractor badge request form is for contractors expected to be on the Tomah VA Medical Center campus for less than six months, and requires information about the contractor and approval from the VA project manager.

The pre-solicitation notice is for project 676-19-105 to replace approximately 8,400 linear feet of steam condensate lines at the Tomah VA Medical Center for $2,000,000 to $5,000,000. The project will also include asbestos abatement and have a period of performance of 720 calendar days. The solicitation will be posted on February 24, 2020 on beta.SAM.gov and bids will be accepted until March 25, 2020. A pre-bid conference will be held and the solicitation issued as a 100% Service Disabled Veteran Owned Small Business set-aside. Bidders must be verified as a SDVOSB concern in the VIP database at the time of bid submission.

36C25220B0015 S02 - ATTACHMENT #2 - Contractor Badge Request.pdf

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Other files for this federal contract opportunity

Other files attached to Z1DA--676-19-105 Replace Steam Condensate Lines, newest first.
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36C25220B0015-0008000.docx DOCX document
36C25220B0015-0007000.docx DOCX document
36C25220B0015-0007001.pdf PDF
36C25220B0015-0006000.docx DOCX document
36C25220B0015-0005000.docx DOCX document
36C25220B0015-0005002.pdf PDF
36C25220B0015-0005001.pdf PDF
36C25220B0015-0005003.pdf PDF
36C25220B0015-0004006.docx DOCX document
36C25220B0015-0004007.pdf PDF
36C25220B0015-0003000.docx DOCX document
36C25220B0015-0002000.docx DOCX document
36C25220B0015-0001000.docx DOCX document
36C25220B0015-032.pdf PDF
36C25220B0015-036.pdf PDF
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36C25220B0015-035.pdf PDF
36C25220B0015-031.docx DOCX document
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Text version

DEPARTMENT OF VETERANS AFFAIRS

Tomah VA Medical Center 500 E. Veterans Street

Tomah, WI 543660

Contractor Badge Request

This is a badge that may be issued to a contractor that their expected timeframe to be on campus is less than 6 months (180 days) in a one year period.

*Please bring your ID*

Name of Contractor:______________________________________

Mailing Address: ________________________________________

Date of Birth:___________________________________________

Phone Number:__________________________________________

Contracting Company Name:_______________________________

Company Phone Number:__________________________________

VA Project Manager Name:________________________________

Approval by VA Project Manager

Contractor (Not project) Expiration Date:___________________________________

Project Manager Signature:__________________________________

Return Completed Form to VA Police Office, Building 407, Room 1709

608-372-3971 ext. 61244 or 66252 Point of Contacts: Police (61244) or Tessa Prissel (66252)

Police Employee Signature: _________________________________________

Date Issued:_____________________________________________________

You will not be issued a badge if the VA Project Manager has not written in an expiration date for your time on campus and has not signed this form. It is also the Responsibility of the Badge holder to ensure badges are turned into Police before expiration.

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