36C26119Q0841-001.docx

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Attached to
Site Rite 8 System or Equal Federal contract opportunity
Solicitation number
36C26119Q0841
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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36C26119Q0841 Sources Sought Form Site Rite.docx

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SOURCES SOUGHT INFORMATION FORM

36C26119Q0841 Site Rite

Firm Name: _________________________________________________________________________

Address: _________________________________________________________________

Name of POC for firm: ________________________________________________________________

Phone Number of POC: ____________________________________________

E-mail address of POC: ____________________________________________

Type of business:

|_| SBA certified 8(a) firm |_| SBA certified HUBZone |_| Service Disabled Veteran-Owned Small Business |_| Small Business

Bonding Capacity:

Surety Name: ___________N/A for Generator__________________________ Maximum bonding capacity per project: _______________________________ Aggregate maximum bonding capacity if firm is performing on more than one contract: _____________

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