36C26118R0050-00005001.pdf

February 9, 2018 lo:00 AM

SIGL11M LCJI1T - Solicitatit n26118E0050

PROJECT 654-16-632 Relocate Boiler Plant Electrical RooLIJI1

VA Sierra Nevada Health Carr System (VASNHCS) Reno, Nevada

Completc UT917talowing r,,ao.I turn into tLe QohictrtiotiL41 (1)1fil(4A:ir

1. Company Name: 2

Company RPprosentative: ).„<:3/2 ,-///

Vhorie # , ) ) , Em01: '5' -) )-5-- (q ) /- 15 ti 7 e i c , , Additional Reprooentative: /

Phone # ,r7 t ir Email:

Additional Representative:

Phone # Email:

Pleas° chuck one of tEio following:

General Contractor

SuL-Qoutractor upplier

1o:00 AM

SIGN IL] ,2C 1L1.1_71" - Solicitation 36C261181,P050

PROLIFICT 654-16-632 Relocate Boiler Plant Electrical Rocca

VA Cierra FouaicliTiEcalth Care r7stem (VASNHCS) P,nno, Vovacla

Complete tuct following and turn ii1t tLie ontractiL0

1. Company Name: titt< orligr-Irroy Representative:

Phone # t ) 4)6P) MA?‹ vitekaA) p itics& ifweet+ tY/13 edA

Additional Revrrusentative:

Phone #

Additional Representative:

Please check one of tClu- following:

Cneral Contractor

!1b-ContrActor

Supplier

0172-0 ).•

CL/

February 9, 2018

1o:00 AM

LIMN IN - Sclicriation 3626118C150

PROJECT 654-16-632 Reloc te Boiler Plant El ,ctrical Rocni

VA Sierra ova Health Care System (VASNHCS) Reno, Nevada

C.omplute the fallowino {awl turn CIL! ontra-lcUrIn C4Ircor

1. Company Name: 4.j.) ,P) LA1Medi C...7),47C; (E C-

7(

Phone # 120 VP Entail!: (jcalfir

L)A

Phone #

Additional nenvesentative:

Phone #

L locse check one of the following:

General Contractor

ULM-Contractor )

Supplier

Company ReprescAgt..itive:

Additional RevIreEilltatilve:

SIGN 1[\111J1FIT-iT - Solicitation 36 72.0':1LL.0050

PROJECT 654-16-632 Relocate Boiler Plant Electrical RocLA

VA Sierra Nevada 11(^alth Car System (VASNHCS) Reno, rluvada criALAILIc the following 1-.L.1 turn into the CCL craclirDF n)fficer

1. Company Name: pirci2-/ .0.( ran dXvc Pak./

Company Represemmtntive:

Phcno #77f - (07 518 /5/z-z- r4t7-72, orsa6txr.c?-o--/

AdditionaA ElepTe7lontAtivic.).:

Phone # Email:

Additional kepresontrativvo:

Phone #

Pluc.ise check one of the collowing:

General Contractor

Sub-Contractor

SupplEer

SIGN IlL\ Solicitati iLL] 36 261181,U050

FLOJECT 654-16-632 Relocate Boiler Plant Electrical RooLA z' Sierra It701721717. r-!eallth Care Systcrt (VASNHCS) Reno, Nevada anapllate tc ollowing Lind turn into the CC)Filroctdrirl Ccacnr

I. CompanyName: /h ';11(

Company Represe6dtritive:

vow, Phone # . 903 o „reel,/

Additional Representritiu:

Phono # PAN Al:

Additional Representative:

Phune #

Please check ono of the following:

General Contractor

Sub-ContrLe.tor

Supplic%r

SIGL L'LLILLET Solicitatrc ET L C26118LU030

PL1OJECT 654-16-632 Relocate Boiler Plant Electrical Room

VA Sierra Nevada Health Care System (VASNHCS) Reno, Nevada

Complete trde fIJlowing nne trIrn into the Contracting 00frcer

1. Company Name: ‘'A AA / C ci /y 5 I - c C , Company Representative: /y /4/6'

Phone #( co:) /7) Co /7 ,4-)

Additional Revresentative:

Email: RN/ 4 Ai 11 g) if /lir/ e ciAr // 6/1(

'94- V C 6 /4-1,-4, Phone # 7 5- 7c' ,9 ei L.-(0

Additional Representative:

Vhone #

Pleasu c[auck one of the following:

Goriern1 Contractor

SIG[ Lh f'117ET - Soil( Ration 36C26118111050

PR JECT 654-16-632 Relocate Boiler Plant Electrical Rucva

VA ,1erra rrwrirla I'lralth Care System (VASNHCS) Re, Nevada

CcL4r te the followind [n(Ilturn into CIL Contrauc,-tihdej elfEc.Jr

Company Name: :01\\\\ L„.\ 1A1 \COS LLG

Comnnny Representntive: 61:)q-1(-)r2 .\- 0\tli

Phone # 115 (-66f )) 611a 0 \6100:-) C\11111N-44\411\Ct

Additional Mopresentative: b\WAI kon(A ru.no,s?P') 11\3 Email: \ \)ikAtl 66)(i7t c (4, 17iclditiona11 opresentative:

Phone Email:

Please QLrocE. one of the following:

General Contractor

SupplEer

SIGN IL 2l1-',E-LiT SclicKa:11(413GC.:26118L0050

PROJECT 65416-632 Relocate Boiler Plant Electric I RociriA

Sierra rleun1i•7 rioalth Care System (!ASNHCS) Reno, Nevada

Complete the 'tit lrorYEirno and turn into tiAle.eirlityL).;©tiLdu cal717k:ur

1. Company Namp:

Company Re resentativ_.: 5e-0r

Phone # 6-1 1 7, 630 Email: 506 e , CL ,Of

Additional nevresentative:

Phone # ttc A-60 ern-(l-

Additional Reprosontative: )

Phono # 11 &Led (49 `° '1(36) Email: (2Dofvot

Plukisu cEwcL one of Cie following:

Geidurul Contractor

Sub-Contractor tqlier

'7 if et. 10.14)

- "1 rlIGN IN 3C]=7 - Solicitation -37C_C:18R0050

PROJECT 654-16-632 Relocate Boiler Plant Electrical Rocm

VA Sierra Nevada Health C re System (W4LL,.IHCS) Reno, Nevada

(.,,cmpletc tu ollowing and turn into the ContractiLp C117.711(zcw

I. Company Name: 1)\ \e-C 0)1A.,()Obilh°1'\-1

Company Reprusentative:

Phone # (55'1) -- Yf)5 U6- 111; e > hevtc-,11,-cs aum(v\v.,•is ec-hoivd-e5 6-3 ,-c \ Additional Ropresentative: ( c6101 lot

Phone # ELLkiLiL

Additional RevreL.untative:

rhonc, Email:

ileaso cCuncr': one of the following:

Seneral Contractor

Sclb-Contrractor

LATplier

Email: lkicipts C

1o:00 AM

SIGH ILI ITTIT - Solicitation 36 116L33L,k)

PR JECT 654-16-632 Relocate Boiler Plant Electrical R,cc-..- E-Ld

VA ririrra Nevada Firc!th Care System (VASNHCS) Re, Nevada omplot(.1 followLilo and turLd into the (...on1roctinp4L-,iffleor

Company Name: 1 e r -4-0 L

Comronny L.-.presentative: /4/1 4 6k / 4 ,a)L1

Phone #(5---r),,2 tOc--, Email: Ocferlo.L.L.S

Additional McvresriEdttitive:

b0 Con !Acme #

Additional L%or resmutative:

Phone 30( ) ty / o ya hcOCAC WA), 3 e--

Please check one of the following:

Y r General Contractor

ION IN ; - C2fEET - f :-)4•11C'r 8R0050

PLOJE T 654-16T632 Relocatu Boiler Pliant Electrical Roo

VA Sierra rk%?.inAla Hellth Care Syr7t3ril (VA!7V11-1CS) Rerrt7), Elevada

Complete the Alliowing and turn iuto t;ie Contrricang Offinnr

Cortrrany Name: ,441 5/ 1/

Company RI lifesentatiu(t): aL1 IAA- 17)A.

7—e* Phone # -07`1-

0;

e

Additional _7\_erresoltative:

Phone # i•._•T /1 -7/OL Email:

Additional [,,er resentative:

L hone # Email:

Ploase check one of the following:

Goneral Contractor

Cub-Contractor

10:00 AM

SIGN IN ..JlaT cdEL' citation 36C2C4,1181.U0E3

PROJECT 654-16-632 Relocate Boiler Plant Electrical Rocm

VA Sierra Nuvada Health Care System (VASNHCS) Reno, Is! avrnc!

Complete the followiLLc1aLLI turn into tluo ontractiuci Offlocr

Company Name: -7(7, s LT-51V-

Company Represen.Ltive:

Phone 0 "--

Additional Repres( ctitive:

Phone # LL ALIN: O& k),, vacs, CoMV/2 /1 e;rtsp—,5

Additional Represuntative:

Phone ft Email:

Please checl: one of the following:

General Contractor

Sub-Contractor

Supplier et*, re_

DALAI: ZitP&Di—Vbeicra---boi , --140 c62,41

SIGN EC'I CrliT - SallE(zitatioLl 3CC7,7118r1C750

PROJECT 654-16-632 Relocate Boiler Plant Electrical Room

VA Sierra Nevada Health Care System (VASNHCS) Reno, Nevada cAnplete followinq and turn into tuu Contracting OrMcer

1. Company Name: • '-V--c1(\

Company Lwresentat5vo: VA r -C-c-1

Phone # (1).- 776- 51 cc-- A.0 \z)v\ S

Additional Representntive:

Phone #

Additional ReprusuLAQtive:

phone #

TIonse cfrecE one of the following:

General Contractor

Gut-I-Contractor

SIGN - Solicit,'lion 36n26118R0050

PRWECT 654-16-632 F eloc te Boiler Plant Electrical ROCEI.t1

VA Sriorra Neva !lealth Care System (VASNHCS) Reno, Nevada omplutu t1 .? following and turn into trvl CeLitractinu UjEcrcIr

Company Name: kikt r) USY, Company epresentnthfc:

Phone # 61.7) ai ._ ..ttry)

Additional Eupresentative:

Phone # Email:

Additiouul Eluvreseutative:

[Acme # Email:

Please check one of the following:

X/ General Contractor

OtzpvIler

SI 36C`161181(050

PROJECT 654-16-632 Relocate Boiler Plant Electrical Roo

Wit LIerra Novaclo L (.:alth Care System (VASN17.S) Reno, Nevada

Complete the followirr rIncl turn into the Contracting Officer

Company Name: C) (2. cz4 -ompany Re viresentotEue: (v116.0-1 A

Phone # (4c7) ail: `.1'' tt (c c.

Additional F_eprosentative:

Phone #

Additional Representative:

Phone # Email:

rEease chec% one of the followiuq_c.'

General Contractor

Sub-Contractor

Liman:

SIGN IL I JFilT - Solicitation ZLZ26118En050

PROJECT 654-16-632 Relocate Boiler Plant Electrical oond

VA Siert." Nevada Health Care System (VASNHCS) I Jno, Vevada

C.:errnplete the following rtI turn into the Contrthic Ifficer

A

1. Company Name: (./ / g,/ /nam..61, ,L4

Company Representative: ,leA/t •Le./117

Phone # pp- 7c/Z- /eg -0//.11464477..1-1 Let -

Additional ReFrosontntive:

C7E-tone # Email:

Additional. kepresentative:

Phone a Email:

Pleas° claccEt one of the following:

General Contractor

P< Sub-Contractor

Generul Contractor

Supplier

February 9, 2018

1o:00 AM

SIGLI LL1 L 2Li - Solicitation 36 2611r- EIC(A0

PROJECT 654-16-632 Relocate Boiler Plant ElectricnI Loo

VA f_ierra Nevada ealth Care r 1 7 stem (ASNHCS) 7nroo, Nevada

Complete the following and turn into the ContractraT7 Jificer

Company Name: E\ iC-0/. 5O1 ,//\-- ---;/.2 viNJ /A1

C on -7 ny ReprosentrAlue:

71 )4 p

Phone # d77 2(1- 33 ELac.ail: C1(14 bir\i 6 orj Q 9141/ellx}:-)1.- (--,771 • Op

Additioual RuL»Tec7(.tative:

Phone #

Additional Rupresentative:

Please check mu of the following: