36C26119B0009-005.docx

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612-19-1-6056-0010 Install Fall Protection at Mather and Martinez (VA-19-00012143)
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36C26119B0009
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36C26119B0009 Attach. 4 RFI Form.docx

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Attach. 4

RFI FORM

Contractor Name:

Address:

Phone/eMail:

Send to: Apolinar.Vargas@va.gov and William.Peterson3@va.gov

RFI

(REQUEST FOR INFORMATION)

PROJECT NO.:

612A4-19-009
CONTRACTOR RFI NO.:

PROJECT NAME:

Fall Protection at Mather and Martinez, CA
DATE REQUESTED:

ACQUISITION NO.:

REFERENCE:

DRAWING:

SPECIFICATION

SECTION:

DESCRIPTION OF PROBLEM OR INFORMATION BEING REQUESTED

Please be specific as possible:

VA PROJECT MANAGER’S RESPONSE

VA TRACKING # FOR ALL RFI’S:
AMENDMENT NO.:
VA PROJECT ENGINEER/MANAGER:
DATE:

Attachment 4

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