5 RLP 36C10F23R0105 Offering Entity Acknowledgement Form The Villages FL OPC 11_2_2023.pdf
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- Solicitation number
- 36C10F23R0105
About this file
This document is an Offering Entity Acknowledgement form for a Request for Lease Proposals for an Outpatient Clinic in The Villages, Florida. The form requires the Offeror to provide contact information and certify their status as a small, veteran-owned, or disadvantaged business. The related federal contract opportunity is solicitation number 36C10F23R0105 issued by the Department of Veterans Affairs Office of Construction and Facilities Management for lease of the outpatient clinic. The pre-bid documents include an amendment, question and answer matrix from the pre-bid meeting, an attendance sheet for the pre-bid meeting, and the presentation from the pre-bid meeting. Offerors must submit the completed acknowledgement form by the specified time in order to be eligible for the lease award.
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Text version
REQUEST FOR LEASE
PROPOSALS (RLP)
NOV 2023
RLP No. 36C10F23R0105
OUTPATIENT CLINIC (OPC)
The Villages FL
Offering Entity Acknowledgement for RLP No.: 36C10F23R0105
The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C10F23R0105. 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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