FMS Vendor File Update Request Form.pdf
PDF 236 KB Posted
- Solicitation number
- 36C26224Q0446
About this file
This document contains a request for quotations for laundry services. The Network Contracting Office 22 is seeking quotes to provide laundry services for linen items, laundering, transportation, and delivery for the Phoenix VA Healthcare System and Prescott VA Healthcare System located in Arizona. Interested vendors should provide pricing for processing all laundry items in accordance with state, local, and federal regulations as well as contract terms and conditions. Quotes are due by January 31, 2024 at 12:00 PM PST. The solicitation is set aside for small businesses with a size standard of $8 million or less in average annual receipts according to NAICS code 811210. The Department of Veterans Affairs Veterans Health Administration VISN 22 is the contracting agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 36C26224Q0446 0001_1.docx | DOCX document | |
| Questions for PHX Laundry Service_.docx | DOCX document | |
| Description.docx | DOCX document | |
| 36C26224Q0446_4.docx | DOCX document | |
| 36C26224Q0446_2.docx | DOCX document | |
| W-9 Form.pdf | ||
| RFQ - 36C26224Q0446.docx | DOCX document | |
| VA10091.pdf | ||
| 36C26224Q0446_1.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
VENDOR INFORMATION
1. REQUESTOR:
2. SERVICE:
3. EXTENSION:
4. VENDOR NAME:
Doing Business As/Legal Name:
5. VENDOR ADDRESS
Physical Location:
Mailing Address:
City:
State/Zip:
6. VENDOR TAX IDENTIFICATION NO. or
SOCIAL SECURITY NUMBER:
(Mandatory field must enter one or the other)
TIN:
SSN:
7. VENDOR PHONE & FAX NUMBER:
Phone:
Fax:
Email: :
8. PAYMENT STREET ADDRESS:
Address:
City:
State/Zip:
9. POINT OF CONTACT:
10. ACCOUNT NUMBER:
11. Does Vendor have an existing contract? YES NO If answer is YES, please enter Contract Number:
(i.e. GS-, V797 or any other contract with payment terms N/30 and expiration date) Beginning Date: Expiration Date:
FOB: Destination Origin Prompt Payment Discount: _________ (i.e. 2%/10; 1%/20 or N/30)
12. 1099 Vendor Indicator: YES (Always YES except if FEDERAL Government) NO
13. Business Type (FPDS) (Must check one): Small Large Outside VA Other Entities
14. Socioeconomic Group: (Please check all that apply) Sm Disadvantage Bus Javits-Wagner-O’Day Hubzone Small Business Veteran-Owned Small Bus Woman-Owned Small Business Historically Black College & Univ./Min Institute Veteran-Owned Large Bus Woman-Owned Large Business None of the other business Veteran-Service Disabled
15. Purchase Card Accepted YES NO
16. DUN and BRADSTREET NUMBER: ___________________________ (Mandatory-if vendor does not have one they need to go to http://www.dnb.com to register.
17. Is Vendor registered with Central Contractor Registration (CCR)? YES NO (Mandatory-if vendor is not registered they can accomplish the task at: http://www.ccr.gov to register.
18. Before we may enter any new vendor information within the VA database the mandatory registration sites shall be checked along with the status of the vendor’s ability to do business within the Federal Government. Failure to check the mandatory field(s) could result in administrative action. The following two sites are your final check .
http://epls.arnet.gov/ & http://exclusions.oig.hhs.gov/
File details come from the government source that posted it. Updated .