Attachment 5 - Replace Elevators 200 200E - PIV Badge Template.pdf

PDF 289 KB Posted

Attached to
Z1DA--402-21-709 Replace Elevators 200 200E Federal contract opportunity
Solicitation number
36C24124R0051
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

About this file

Written by GovTribe AI ·

This document is a PIV badge request template for the Department of Veterans Affairs (VA) Maine Healthcare System. It outlines the required information to be submitted when requesting a PIV badge, such as the applicant's name, address, contact information, and position details. The template indicates that all highlighted information must be provided, or a badge cannot be issued.

The related federal contract opportunity is for the replacement of elevators 200 and 200E at the VA Maine Health Care System (Togus VAMC). The solicitation number is 36C24124R0051, and the contract is for construction services to deliver a complete construction project. Interested contractors are instructed to refer to the attached statement of work and submit a proposal no later than June 3, 2024 at 1:00 PM to the specified email address.

View the file

Other files for this federal contract opportunity

Other files attached to Z1DA--402-21-709 Replace Elevators 200 200E, newest first.
File Type Posted
01 00 00 - GENERAL REQUIREMENTS 100 Percent BD - Revised.pdf PDF
36C24124R0051 0003.docx DOCX document
RFIS - Elevators 200 200E Resolicit - AE RESPONSES.docx DOCX document
36C24124R0051 0002.docx DOCX document
04-09B 402-21-701 Togus Elevator 100 Percent Bid Design Drawings - Clear version (2).pdf PDF
36C24124R0051 0001.docx DOCX document
ME Wage Determinations 2-9-2024.pdf PDF
Attachment 9A - Replace Elevators 200 200E - Bid Design Drawings.pdf PDF
Attachment 8 - Replace Elevators 200 200E - Local Requirements.pdf PDF
Attachment 4A - Replace Elevators 200 200E - Seasonal Influenza with Vaccines.pdf PDF
Attachment 2 - Replace Elevators 200 200E PRCRA.docx DOCX document
Attachment 1 - Replace Elevators B200 200E - ICRA.pdf PDF
Attachment 7 - Replace Elevators 200 200E - RM Verbiage for 6500 SOW.docx DOCX document
SOW - Replace Elevators 200 200E Final.pdf PDF
Past Performance Questionnaire - 36C24124R0051.docx DOCX document
Attachment 9B - Replace Elevators 200 200E - Design Drawings Part 2.pdf PDF
Attachment 3 - Replace Elevators 200 200E - Togus Campus Map.pdf PDF
36C24124R0051_1.docx DOCX document
Attachment 10 - Replace Elevators 200 200E - Specifications.pdf PDF
Show all 19

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Project Name: Type of Badge Requested: PIV NON-PIV FLASH

Circle one

Departmentof Veterans Affairs

VA Maine Healthcare System

Police Department

1 VA Center 07B

Augusta, ME 04330

207 623-5796

Last Name First Name Middle

Physical Street Address City State and Zip Code

Social Security Number

Gender (M) (F)

Service Line or Company Name Company or Cell Phone Number

Date of Birth

Place of Birth Occupation Title

Personal email for activation of badge process

For Engineers to fill out:

Contract end date:

Service Line Official Date

All highlighted info must be submitted, or a badge cannot be issued

FOR TOG US POLICE USE ONLY

VISTA RECORDS:

DATE CHECKED BY RECORDS FOUND TYPE

VAPS RECORDS:

DATE CHECKED BY RECORDS FOUND TYPE

LOCAL RECORDS:

DATE CHECKED BY RECORDS FOUND TYPE

STATUS F YES NO ADVANCED TO HR

File details come from the government source that posted it. Updated .