Exhibit O Offering Entity Acknowledgement Form.pdf

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Attached to
X1DB--Answers to Questions Received and Revised RLP Exhibits
Solicitation number
36C25023R0113
Issued by

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This document contains an offering entity acknowledgement form and details of a related federal contract opportunity. The form requires an offering entity to provide its name, address, unique entity identifier, DUNS number, tax identification number, authorized official contact information, and size status as a service-disabled veteran-owned small business, veteran-owned small business, or small business. By signing the form, the entity attests that the provided information is accurate and will be used to evaluate its proposal in response to solicitation number 36C25023R0113 for a Community Based Outpatient Clinic project in Warsaw, Indiana being conducted by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10. Proposals are due by the time specified in the related opportunity, though no due date is included in this document.

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Other files

File Type Posted
Warsaw CBOC Answers to Pre-Proposal Conference Questions 09.28.23.pdf PDF
36C25023R0113 0002.docx DOCX document
Exhibit B Draft Agency Specific Requirements Warsaw (with Security) (Amended)(09-28-23).pdf PDF
Exhibit C Program for Design (Amended)(09-28-23).pdf PDF
36C25023R0113 0001_1.docx DOCX document
RLP 36C25023R0113 Pre-Proposal Registration Form.pdf PDF
Exhibit Q Master TICS Table.xlsx XLSX spreadsheet
Exhibit N Pre-Proposal Registration Form.pdf PDF
Exhibit S Contractors Qualifications and Financial Information GSA527.pdf PDF
Exhibit V AbilityOne Certification Form.pdf PDF
Exhibit T Warsaw VA Clinic Delineated Area Map.pdf PDF
Exhibit J GSA Form 12000 Prelease Fire Protection Life Safety Evaluation.pdf PDF
Exhibit I GSA Form 1217 Lessor Annual Cost Statement.pdf PDF
Exhibit U Janitorial Requirements.pdf PDF
Exhibit G 3517B Modified with VA Clauses.pdf PDF
Exhibit F GSA Form 3516.pdf PDF
Exhibit K DOL Wage Determiniation IN20230005.pdf PDF
Exhibit M Operation and Maintenance Plan.pdf PDF
Exhibit P Past Performance Survey.pdf PDF
Exhibit H GSA1364.pdf PDF
Exhibit E Security Unit Price List FSL II.xlsx XLSX spreadsheet
Exhibit A-36C25023L0027.pdf PDF
RLP 36C25023R0113 Warsaw CBOC.pdf PDF
Exhibit L FAR 52 204.pdf PDF
Exhibit C Conceptual Floor Plan with Program Requirements.pdf PDF
Exhibit D Security Requirements FSL Level II.pdf PDF
Exhibit R Architect Engineer Qualifications SF330.pdf PDF
Exhibit B Agency Specific Requirements Warsaw.pdf PDF
36C25023R0113.docx DOCX document
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Offering Entity Acknowledgement for RLP No.: 36C25023R0113 Warsaw, IN CBOC

The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25023R0113. Failure to provide the required information may deem the proposal non-responsive.

Offeror Information

Offering Entity Name:

Address:

Offering Entity Unique Entity Identifier (SAM UEI):

Offering Entity DUNS Number:

Offering Entity Tax Identification Number:

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

Offering Entity Currently Certified in SAM under NAICS 531120 as defined at FAR 52.219-1 Small Business Program Representations

Offering Entity Currently Verified in VetCert: YES NO N/A

Offering Entity POC Signature Date

Offering Entity POC Name

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