5 RLP 36C10F23R0075 Offering Entity Acknowledgement Form Nashville TN OPC - 8-10-2023.pdf
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- Solicitation number
- 36C10F23R0075
About this file
This document is an offering entity acknowledgement form for a request for lease proposals from the Department of Veterans Affairs for an outpatient clinic in Nashville, Tennessee. The form requires contact information for the offering entity and certifications regarding its size status, NAICS code certification, and registration in the System for Award Management. Offerors must attest that the information provided is accurate and will be used for evaluation purposes under solicitation number 36C10F23R0075. Proposals are due by the time specified in the related federal contract opportunity for an outpatient clinic with 188,712 ANSI/BOMA usable square feet of space located in Nashville, Tennessee. The solicitation is identified as number 36C10F23R0075 and is an amendment issued by the Department of Veterans Affairs Office of Construction and Facilities Management.
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Text version
REQUEST FOR LEASE
PROPOSALS (RLP)
AUGUST 2023
RLP No. 36C10F23R0075
OUTPATIENT CLINIC (OPC)
Nashville, TN
Offering Entity Acknowledgement for RLP No.: 36C10F23R0075
The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C10F23R0075. Failure to provide the required information may deem your proposal non-responsive.
Offeror Information
Yes No
Offering Entity Name:
Address:
Offering Entity UEI:
Offering Entity Tax Identification Number:
Authorized Official Name:
Authorized Official Phone Number:
Authorized Official E-mail:
Authorized Official is Listed in Entity SAM Representations:
Date of Submission:
Time Specified for Receipt of Offers:
Offering Entity/Prime Contractor Size Status: SDVOSB
VOSB
SB
Offering Entity Currently Certified in SAM under NAICS 531120
Offering Entity Currently Certified with SBA
Offering Entity POC Signature Date
Offering Entity POC Name
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