FMS Vendor File Update Request Form.pdf
PDF 270 KB Posted
- Attached to
- J044--PIPE INSULATION & REPAIR SCA Required Federal contract opportunity
- Solicitation number
- 36C26224Q0615
About this file
This solicitation requests quotations for pipe insulation services at the San Diego VA Medical Center. The Network Contracting Office 7 is seeking a contractor to insulate piping for 65 lavatories and repair insulation on 10-15 existing piping systems to meet ADA requirements. Interested companies must provide a quotation by February 20, 2024 at 12:00 PM PST by emailing Charity Cazee at Charity.Cazee@va.gov. The associated NAICS code is 238220 with a small business size standard of $19 million. The solicitation number is 36C26224Q0615 and was posted on February 15, 2023 by the Department of Veterans Affairs Veterans Health Administration VISN 22.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| W-9 Form.pdf | ||
| 36C26224Q0364 Questions.docx | DOCX document | |
| VA10091.pdf | ||
| 36C26224Q0615_1.docx | DOCX document | |
| RFQ - 36C26224Q0615 - Pipe Insulation.docx | DOCX document |
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Text version
VENDOR INFORMATION
1. REQUESTOR:
2. SERVICE:
3. EXTENSION:
4. VENDOR NAME:
Doing Business As/Legal Name:
5. VENDOR ADDRESS
Physical Location:
Mailing Address:
City:
State/Zip:
6. VENDOR TAX IDENTIFICATION NO. or
SOCIAL SECURITY NUMBER:
(Mandatory field must enter one or the other)
TIN:
SSN:
7. VENDOR PHONE & FAX NUMBER:
Phone:
Fax:
Email: :
8. PAYMENT STREET ADDRESS:
Address:
City:
State/Zip:
9. POINT OF CONTACT:
10. ACCOUNT NUMBER:
11. Does Vendor have an existing contract? YES NO If answer is YES, please enter Contract Number:
(i.e. GS-, V797 or any other contract with payment terms N/30 and expiration date) Beginning Date: Expiration Date:
FOB: Destination Origin Prompt Payment Discount: _________ (i.e. 2%/10; 1%/20 or N/30)
12. 1099 Vendor Indicator: YES (Always YES except if FEDERAL Government) NO
13. Business Type (FPDS) (Must check one): Small Large Outside VA Other Entities
14. Socioeconomic Group: (Please check all that apply) Sm Disadvantage Bus Javits-Wagner-O’Day Hubzone Small Business Veteran-Owned Small Bus Woman-Owned Small Business Historically Black College & Univ./Min Institute Veteran-Owned Large Bus Woman-Owned Large Business None of the other business Veteran-Service Disabled
15. Purchase Card Accepted YES NO
16. DUN and BRADSTREET NUMBER: ___________________________ (Mandatory-if vendor does not have one they need to go to http://www.dnb.com to register.
17. Is Vendor registered with Central Contractor Registration (CCR)? YES NO (Mandatory-if vendor is not registered they can accomplish the task at: http://www.ccr.gov to register.
18. Before we may enter any new vendor information within the VA database the mandatory registration sites shall be checked along with the status of the vendor’s ability to do business within the Federal Government. Failure to check the mandatory field(s) could result in administrative action. The following two sites are your final check .
http://epls.arnet.gov/ & http://exclusions.oig.hhs.gov/
File details come from the government source that posted it. Updated .