36C25621R0148 Vendor Request Form.xlsx
XLSX spreadsheet 16 KB Posted
- Solicitation number
- 36C25621R0148
About this file
This document contains a vendor request form and details of a related federal contract opportunity. The vendor request form collects company and payment information for vendors interested in federal contract 36C25621R0148. The opportunity is a request for proposal from the Department of Veterans Affairs to convert a laundry facility at a Veterans Health Administration location into a distribution and storage area. Relevant details include the solicitation and project numbers, the agency and network involved, and that responses are requested through the RFP process. The opportunity is open to all socioeconomic categories defined in the form.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25621R0148 0003.docx | DOCX document | |
| RFI Register 502-17-300 23 July 2021.docx | DOCX document | |
| Equipment List.docx | DOCX document | |
| 36C25621R0148 0002.docx | DOCX document | |
| Pre-Award RFI Register 19 May 2021 Final.pdf | ||
| 36C25621R0148 0001.docx | DOCX document | |
| Sign in Sheet.pdf | ||
| 36C25621R0148 Specifications.pdf | ||
| 36C25621R0148 Drawings .pdf | ||
| 36C25621R0148 EXHIBIT F.docx | DOCX document | |
| 36C25621R0148 EXHIBIT E.docx | DOCX document | |
| 36C25621R0148 ICRA.pdf | ||
| 36C25621R0148 JA.pdf | ||
| 36C25621R0148 EFT Form.pdf | ||
| 36C25621R0148 EXHIBIT C.docx | DOCX document | |
| 36C25621R0148 SOW .docx | DOCX document | |
| 36C25621R0148 EXHIBIT G.docx | DOCX document | |
| 36C25621R0148 EXHIBIT A.docx | DOCX document | |
| 36C25621R0148 Solicitation.docx | DOCX document | |
| 36C25621R0148 EXHIBIT B.docx | DOCX document | |
| 36C25621R0148 EXHIBIT D.docx | DOCX document | |
| 36C25621R0148 WD.txt | TXT text file | |
| 36C25621R0148 Pre-Sol.docx | DOCX document |
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Text version
Sheet1
| * | VENDOR NAME: | |
| * | ORDERING ADDRESS 1: | |
| * | ORDERING ADDRESS 2: | |
| * | ORDERING CITY: | |
| * | ORDERING STATE: (SPELL OUT) | * ORDERING ZIP CODE: |
| * | VENDOR FAX NUMBER: | |
| * | TAX ID/SSN #: (9 digits) |
| * | SNN/TAX ID: (Check One) | S = Social Security No. | T = Tax Identification No. | |
| * | PAYMENT ADDRESS 1: | |||
| * | PAYMENT ADDRESS 2: | |||
| * | PAYMENT CITY: | |||
| * | PAYMENT STATE: | * PAYMENT ZIP CODE: | ||
| 1099 VENDOR INDICATOR: |
| * | VENDOR TYPE: (Check One) | A = Agent Cashier | O = Other Countries |
| C = Commercial | R = Commercial-Recurring Pmts | ||
| E = Employee | U = Utility Companies | ||
| F = Federal Government | V = Veterans | ||
| G = GSA | K = Canteen | ||
| I = Individual Others | |||
| * | PHONE NUMBER: | ||
| CONTACT PERSON: | |||
| ACCOUNT NUMBER: | |||
| CONTRACT NUMBER: | |||
| BEGINNING DATE: | |||
| EXPIRATION DATE: | |||
| CONTRACT TERMS: | |||
| CONTRACT/BOA # CONTRACT FLAG: |
| * | BUSINESS TYPE (FPDS): (Check One) | 1 = Small | 3 = Outside U.S. |
| 2 = Large | 4 = Other Entities |
| * | SOCIOECONOMIC GROUP: | N = Small Disadvantaged Business |
| (Check as Necessary) | P = Javits-Wagner-O'day (JWOD) | |
| W = Woman-Owned Small Business | ||
| OO = None of the Other Categories | ||
| S = Veteran-Owned Small Business | ||
| LW = Woman-Owned Large Business | ||
| LV = Veteran Owned Large Business | ||
| U = Historically Black Coll & Univ/Min Inst HBCU/MI | ||
| RV = Service-Disabled Veteran | ||
| HZ = Hubzone Small Business Concern | ||
| SPECIAL FACTORS: | ||
| GUARANTEED DELIVERY: | ||
| SELECT SYNONYM: | ||
| IS A SF129 ON FILE: | ||
| * | DUNN & BRADSTREET #: (9 digits) |
| ACCEPT CREDIT CARD: (Check One) | YES | NO | ||
| CCR EXP. DATE | ||||
| * | SUBMITTED BY: | DATE SUBMITTED: | ||
| * ASTERISKS INDICATE REQUIRED INFORMATION AND MUST BE COMPLETED |
Sheet2
File details come from the government source that posted it. Updated .