36C26118R0048-00002001.pdf

May 16, 2018

10:00 AM

SIGN IN Sr•MET - &Incitation

PIAGJECT CA:24-16-614 Water Safety Dead Leg Removal, VA

Sierra Nevada Health Care System (VASNHCS) Reno, Nevada

Complete the following and turn into the Contracting Officer

1. Company Name: 5 /4.37110r,L

Company Representative: ‘ ----Dc/ ke_

Phone # 775-776 -OZ`77 Email: rtaie (2? TrocSiD1i-2k , (am

Additional Representative:

Phone # Email:

Additional Representative:

Phone # Email:

Please check one of the following:

General Contractor

Sub-Contractor

Supplier v-/

SUM II SE IEET - Sulicitation

PROJECT 654-16-614 Water Safety Dead Lep] Removal, yr.

Sierra Nevada Health Care System (VASNHCS) Reno, Nevada

Complete the following and turn into the Contracting Officer

1. Company Name: Sc NAL,/ c I t3 (-

Company trzc.,presentative: r rtione # J9117, ,7 Akek Email:

Additional Representative: ) c55't _LK 6e r

Phone # E( '-/' 7)?.? Email:

r• f i e 0 -7 1-4(

Additional Representative:

Phone # Email:

Please check one of the following:

General Contractor

Sub-Contractor

UIGL1 ELZ GoirIcitation

PROJECT 654-16-614 Water Safety Dead Leg Removal, VA

Sierra Nevada Health Care System (VASNHCS) Pen), Nevada

Complete the following and turn into Ede Contracting Officer

1. Company Name: 5, v- alit(%

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CompaLgy Representative: cA,ilk_ Cohtrad

Phone # 1(p736 2-267 Email: TvICoArcicfvevuuesi(e)vm

Additional Representative:

Phone # Email:

Additional Representative:

Phone # Email:

Please check one of the following:

General Contractor

Sub-Contractor