Attachment 8 - General Contractor Information - 515-24-500.docx

DOCX document 29 KB Posted

Attached to
Z1DA--Battle Creek JOC IDIQ 515-24-500
Solicitation number
36C25025R0070
Issued by

About this file

This document is an Attachment for Contractor General Information related to Solicitation 36C25025R0070 for the Battle Creek JOC IDIQ (Indefinite Delivery/Indefinite Quantity) project at the Veterans Affairs Medical Center (VAMC) in Battle Creek, Michigan. The template is designed for potential Service-Disabled Veteran-Owned Small Business (SDVOSB) contractors to provide basic company information, including contact details, tax identification, SAM UEI number, and past performance point of contact. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10, targeting small businesses owned by service-disabled veterans for a construction or maintenance project at the Battle Creek medical facility.

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Text version

Solicitation: 36C25025R0070 – Project 515-24-500 - Battle Creek JOC IDIQ

Contractor General Information

CONTRACTOR INFORMATION:

Name of Company:_____________
SDVOSB Owner Name:_____________
Title:_____________
Street Address:___________________
City:_______State:____ Zip: ____________

E-Mail Address:

Phone No:_____________
Fax No:_____________

Federal Tax ID Number:

SAM UEI Number:

Past Performance Point of Contact (within your company):

Name: __________________________________________________________

Title: __________________________________________________________

Email: __________________________________________________________

Phone: __________________________________________________________

SOURCE SELECTION SENSITIVE Page 1 of 5 FAR 2.101 and 3.104.-4

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