Information sheet 17APR2026.docx

This is a vendor information sheet and quote template for the Virginia Army National Guard's blanket purchase agreement (BPA) solicitation for dental services. The form requests standard vendor information including company name, small business status under NAICS code 315990, CAGE code, SAM Unique Entity ID, and tax ID number. It also includes fields for quote details such as discount and payment terms, estimated delivery date, and quote expiration date, along with signature and authorization blocks for the vendor representative.

The associated solicitation (W912LQ26QA016) seeks BPA awards for Class Dental Services targeting service members in the southwest region of Virginia. Each BPA will have a 60-month ordering period with a maximum call ceiling of $350,000, with individual calls ranging from a minimum of $1.00 to a maximum of $10,000.00. Questions must be submitted by electronic mail no later than 11:00 A.M. Eastern Standard Time on April 24, 2026, with quotes due by the date and time specified in the full solicitation announcement. All calls will include individual statements of work or performance work statements, and vendors should refer to the complete solicitation document for additional details.