Exhibit N- Offering Entity Acknowledgement Form.pdf

343 KB Posted

Attached to
X1AA--Grand Rapids Vet Center Relocation
Solicitation number
36C25025R0078
Issued by

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This document is an Offering Entity Acknowledgement form for a Request for Lease Proposals (RLP) issued by Network Contracting Office 10 under solicitation number 36C25025R0078. The form serves as a template for offerors to provide company information and attest to the accuracy of data submitted as part of their proposal evaluation.

The form requires offerors to complete sections on offering entity identification, including legal name, address, Unique Entity Identifier (UEI) number, and Tax Identification Number. Offerors must identify an authorized official and provide contact information including phone number and email address. The form includes checkboxes to verify whether the authorized official is listed in the entity's SAM representations and operating agreement. Offerors must indicate their business size status by selecting one of four categories: Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small Business (VOSB), Small Business (SB), or Large Business. The form requires the offeror's point of contact to sign and date the submission, along with providing the submission date and time specified for receipt of offers. This acknowledgement form is designated as Exhibit N within the RLP documentation.

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REQUEST FOR LEASE NETWORK CONTRACTING OFFICE 10

PROPOSALS (RLP)

Offering Entity Acknowledgement for RLP No.: 36C25025R0078

The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25025 R0078 .

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

Exhibit: N

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