S06 0001 36C25227R0001 Att2_S02 SOL_Att02 Contractor General Information.docx

This is a contractor information form template for a Multiple Award Task Order Contract (MATOC) 36C25227R0001 solicitation. The form is a blank template designed to collect general contractor information from offerors responding to the solicitation for bathroom renovations at the VA Illiana Health Care System (VIHCS) in Danville, Illinois, under Seed Project No. 550-25-108. The form requires contractors to provide company name, point of contact name and title, business address, email address, phone number, fax number, Tax ID Number, and SAM UEI. Additionally, contractors must designate a Past Performance Point of Contact within their organization, including that individual's name and email address.

This template serves as part of the proposal submission package and does not contain specific details regarding deliverables, pricing terms, response dates, or award dates. The form is intended to facilitate the collection of standardized contractor identifying information from multiple potential awardees under the MATOC vehicle being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12.