36C26119B0030-0001001.pdf

May 29, 2019

9:30 AM

SIGN IN SH ET - Solicitation 36C26119i J030

PROJECT 654-18-813 Replace CLC Transformer. VA Sierra

Nevada Health Care System (VA' Pi TICS) Reno, Nevada lete the followikri an turn into the clontracting fficer

1. Company Name: f ('01) crYc.-

Company Representative: I tr A

Phone ;;-: 771) —o fej Email:( Cu? c- -te c) / l.,15c,e-c,Copvk

Additional RepresentatiI-1:

Phone #

Additional ITL. rc....suLdtJtive:

Phone # ELh lease check onu of the followrril.:

SeneriA Corctor

A ur ,-(lontractor

L'Aripy !ler

SIGN IN S1L-:ET - Solicitation 36C26119 0030

PROJECT 654-18-813 Replace CLC Transformer. VA Sierra

Nevada Health Care System (Vt: N CS) Reno, Nevada

CoL iete the follow[ aLL,cl turn into the contracting sfficer

Company Name: Ar/i

Company Representative: k A/ 1-/ t,/

Phone # 5'03 - 6 5 -1 79 0 Email: WO A, (i) cAt /fry/ i?

Additional Representative:

rr oano : 7

4) Cc' F/v/-A,? Cc/v s-1/2 L't' 7 1 t, AI, dditional (-presentative:

L"IlEano

L Ilease C113: one of Ede

General Contractor

Sub-Contractor

Supplier

Company Name:

Companlf Representative:

Phone ?7S- cc Email:

May 29, 2019

9:30 AM

SIGN Cl S1 ]LT - Sol :citation 36C26119I 1030

PROJECT 654-18-813 Replace CLC Transformer. VA Sierra

Nevada Health Care System (VA ICS) Reno, Nevada

Complete the foIlowini anJ turn into the Contractin Ifhcer

Addition gA Representative:

C._.1./(.11kt—Ok-

Phon # 7- /7( - 3 -Z.

rL C .c4Z— \ C—C•AX.-1'

Additional RepreseLlatthre:

Phone #

Elluase clLacH OLIO of the followin

Ceneral Contractor r'rif I-Contractor

L'mpplier

SIGN IN S EET - Solicitation 36C2611% 0030

PROJECT 654-18-813 Replace CLC Transformer. VA Sierra

Nevada Health Care System (VASNHCS) Reno, Nevada

Complete the following and turn into the contractin. sfficer

1. Company Name: rA, A-- • ‘c)

Compaily Representative:

Phone # 115:- S 673 —0 Co

Additionalllt !ir sentutive:

Phone # Eni

Additional Rer treseutudive:

Phone # LuKiErl:

L Oease cCgocE: one of the following:

eneral Conttrcictor

-Contractor upplier

SIGN IN SHEET - Solicitation 36C2611910030

PROJECT 654-18-813 Replace CLC Transformer. VA Sierra

Nevada Health Care System (VAL 'iliCS) Reno, Nevada lete the followin an turn into the ontractin fficer

Company Name: E-1— ni ST/2%A Cri

Company Representative: EI>C,..*A-Tz- -1->C1-SeV-1

Phone (piet--7/1 — sM .0)ta cz. ftiC64J C.,om

Additional R.( )presentative:

Phone

Additional FresentLitive:

Phone # Eli nail:

L Caaz,o check one of the followiLL:

k ---; :-.jonerr.11 Contractor rqrlii-Serritractor upip.,Eior

SIGN IN SL-ET - Solicitation 36C261191 J030

PROJECT 654-18-813 Replace CLC Transformer. VA Sierra

Nevada Health Care System (VA:TICS) Reno, Nevada

Corr plete the folio in an turn into the contracting fficer

1. Company Name: Sp-'ef jT3ut ckt5

Company Representative: e_cvne cLrAio

Phone 9t1-$7s5 Email: 540.CorAJoQ sC)- 4-4' Atc Lu'l‘jet6t(r t

Additional Represent re:

Phone # En-Lail:

Additional IteresoLdtative:

Phone #

['cease check LAIR.) of the folrouflng:

General Contractor

;741i5-Contractor