ATTACHMENT_4--Contractor_General_Information_(1_page).docx

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Greenstone--ND/SD CONSTRUCTION MATOC
Solicitation number
36C26318R0063
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This document provides details for a Multiple Award Task Order Contract solicitation for construction services. The Department of Veterans Affairs Veterans Integrated Service Network 23 is seeking proposals for indefinite delivery indefinite quantity contracts for maintenance, repair, alteration, and new construction projects ranging from $2,000 to $10,000,000. The solicitation is a total 100% set-aside for Service Disabled Veteran Owned Small Businesses. A minimum of five awards are anticipated for a five year ordering period covering facilities in North and South Dakota. Interested parties must register in the System for Award Management and complete online representations and certifications prior to any award. The solicitation is expected to be posted on FBO.gov at a later date to be determined, where any amendments will also be posted.

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36C26318R0063 ATTACHMENT 4--Contractor General Information (1 page).docx

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Indefinite Delivery Indefinite Quantity (IDIQ) Contracts Solicitation 36C26318R0063 Solicitation Attachment 4 Contractor General Information

CONTRACTOR INFORMATION:

Name of Company: ______________________________
Name: _______________________________
Title: _______________________________________
Address: ____________________________________
E-Mail Address: _________________
Phone No: __________________________________________

Fax No: ___________________________________________

TAX ID Number: __________

DUNS Number: ________________________ _______________________

Past Performance Point of Contact (within your company), include name and email address:

Page 1 of 1 Attachment 4

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