Exhibit R- Offering Entity Acknowledgement Form.docx
DOCX document 36 KB Posted
- Solicitation number
- 36C25024R0130
About this file
This is an Offering Entity Acknowledgement Form (Attachment G) for RLP No. 36C25024R0130 related to the Ann Arbor Health Services Research & Development Administrative Office space lease. The form requires offerors to provide key business information including entity name, address, SAM UEI, DUNS number, tax ID, and authorized official details.
The form requires confirmation of SAM registration status, business size classification (SDVOSB, VOSB, Small or Large Business), certification under NAICS 531120, and VetCert verification status. The form serves as a mandatory submission document for offerors to verify their eligibility and provide points of contact for the lease procurement, though it is primarily a template that collects standard business information rather than detailing specific requirements of the lease opportunity.
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Text version
Attachment G Offering Entity Acknowledgement for RLP No.: 36C25024R0130 Ann Arbor, MI The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25024R0130. 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 |_| Small Business |_| Large Business |_| 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 .