Exhibit U- Offering Entity Acknowledgement Form.docx

DOCX document 38 KB Posted

Attached to
36C25024R0061-X1DB--Martinsville Consolidated Clinic- Request For Lease Proposals (RLP)
Solicitation number
36C25024R0061
Issued by

About this file

Written by GovTribe AI ·

This document is the Offering Entity Acknowledgement Form for RLP No.: 36C25024R0061 for a Consolidated Clinic in Martinsville, IN. The key details are:

The government is seeking 10,500 ABOA SF (not to exceed 14,884 RSF) of contiguous office space in the Martinsville, IN area, with 40 surface/outside parking spaces (8 handicap). The lease term options are 20 years with a 15-year firm term or a 20-year firm term. The Lease Term Commencement Date will be on or about October 1, 2025. The government may require use of part of the building roof for antenna installation.

The offeror must provide pricing for both lease term scenarios and be either a SDVOSB, VOSB, small business, or large business. The offeror must be registered in SAM under NAICS code 531120 and verified in VetCert if claiming SDVOSB or VOSB status. The government will control vending facilities within the leased space.

View the file

Other files

File Type Posted
36C25024R0061 0005.pdf PDF
36C25024R0061 0004.pdf PDF
36C25024R0061 0003.pdf PDF
Exhibit D- Lease Design Narrative and Room Matrix.pdf PDF
36C25024R0061 0002.pdf PDF
36C25024R0061 0001.docx DOCX document
Exhibit H - Tenant Improvement Cost Summary_TICS Table.xlsx XLSX spreadsheet
Exhibit G- Security Unit Price List FSL II.pdf PDF
Exhibit R - Past Performance Survey.pdf PDF
Exhibit P- Seismic Offer Forms.pdf PDF
Exhibit F- VA Secutiry Requirements for FSL II.pdf PDF
Exhibit T -527 Contract Qualifications.pdf PDF
Exhibit A- Lease No 36C25024L0017.docx DOCX document
Exhibit L-GSA Form 1217 Lessor A-Cost Statement.pdf PDF
Exhibit I-3516 Solicitation Provisions.pdf PDF
Exhibit C- Conceptual Layout.pdf PDF
Exhibit M-GSA12000.pdf PDF
Exhibit J- 3517B General Clauses.pdf PDF
Exhibit B-ASR Martinsville Rev02.docx DOCX document
Exhibit D- Lease Design Narrative.docx DOCX document
Exhibit V- Operation and Maintenance Plan_Sample.docx DOCX document
Exhibit Q- Wage Determination.pdf PDF
Exhibit E- HVAC_IT Requirments and Design Guide.pdf PDF
Exhibit N - FAR 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment.pdf PDF
Exhibit S-Pre-Proposal Conference Registration Form.docx DOCX document
36C25024R0061- Request for Lease Proposal Martinsville CBOC.docx DOCX document
Exhibit K-Form 1364 Proposal to Lease Space.pdf PDF
Exhibit O - SF330 A-E Qualifications.pdf PDF
Show all 28

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Attachment G

Offering Entity Acknowledgement for RLP No.: 36C25024R0061 Martinsville, IN CBOC The Offeror attests that the information provided below is accurate and shall be a basis for evaluation in RLP No.: 36C25024R0061. 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 SignatureDate

Offering Entity POC Name

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