Exhibit M Offering Entity Acknowledgement Form.pdf
PDF 171 KB Posted
- Attached to
- X1DB--Kalamazoo Clinic Lease
- Solicitation number
- 36C25025R0031
About this file
This document is an Offering Entity Acknowledgement Form for a Request for Lease Proposals (RLP) with solicitation number 36C25025R0031. The form is designed for potential offerors to provide key business and contact information when submitting a proposal for the Kalamazoo Clinic Lease opportunity. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration, seeking to lease approximately 5,833 square feet of medical office space and 36 parking spaces in Kalamazoo, Michigan. The form includes fields for the offering entity's name, address, UEI number, tax identification number, authorized official details, and requires indication of the entity's size status (with options for SDVOSB, VOSB, Small Business, or Large Business).
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Text version
REQUEST FOR LEASE NETWORK CONTRACTING OFFICE 10
PROPOSALS (RLP) Exhibit: M
Offering Entity Acknowledgement for RLP No.: 36C25025R0031
The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25025R0031 .
Offeror Information
Offering Entity Name:
Address:
Offering Entity UEI Number:
Offering Entity Tax Identification No.:
Authorized Official Name:
Authorized Official Phone Number:
Authorized Official E-mail:
Authorized Official is Listed in Entity SAM Representations: Yes No Authorized Official is Listed in Entity Operating Agreement: Yes No
Date of Submission:
Time Specified for Receipt of Offers:
Offering Entity/Prime Contractor Size Status: SDVOSB
VOSB
SB
LARGE BUSINESS
Offering Entity POC Signature Date
Offering Entity POC Name
File details come from the government source that posted it. Updated .