S02 AttA Contractor Information 585-21-111 Nurse Call.pdf
PDF 28 KB Posted
- Attached to
- Z1DA--585-21-111 Upgrade Nurse Call System at the Oscar G Johnson VA Medical Center in Iron Mountain, MI
- Solicitation number
- 36C25224B0003
About this file
This document is an attachment to a solicitation providing contractor information requirements for the upgrade of the nurse call system at the Oscar G Johnson VA Medical Center in Iron Mountain, Michigan. The related solicitation number 36C25224B0003 was issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12 to obtain nursing call system upgrade services. Contractors must provide company details including legal names, addresses, points of contact and tax identification numbers on the attachment form to be considered for the award. The deadline to submit the completed attachment is not specified.
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Text version
SOL 36C25224B0003, ATTACHMENT A
Project 585-21-111 Upgrade Nurse Call System Page 1 of 1
CONTRACTOR INFORMATION CCC
Project: 585-21-111 Upgrade Nurse Call System
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: ___________________________________________
UID Number: ___________________________________________
(this is different than the Dun & Bradstreet Number)
Point of Contact(s) (within your company), include name and email address:
File details come from the government source that posted it. Updated .