Exhibit P Offering Entity Acknowledgement Form.pdf
PDF 114 KB Posted
- Attached to
- X1DB--Coldwater CBOC
- Solicitation number
- 36C25023R0104
About this file
This document contains an acknowledgement form and details of a related federal contract opportunity for construction of a Coldwater CBOC facility. The acknowledgement form requires the offering entity to attest to accuracy of provided information including entity name, UEI, DUNS, TIN, and authorized official details. It also requires the entity to affirm its size status and relevant NAICS code certification in SAM. The related federal contract opportunity is solicitation number 36C25023R0104 issued by the Department of Veterans Affairs VHA VISN 10 for construction of the X1DB Coldwater CBOC. The opportunity type is a solicitation and responses are due by the time specified, though further details on requirements, pricing, or award timing are not provided in the attachments.
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Text version
Offering Entity Acknowledgement for RLP No.: 36C25023R0104 Coldwater, MI CBOC
The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25023R0104. 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
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