Information Sheet.docx

This is an Information Sheet template that vendors must complete and submit as part of their proposal response to the Virginia National Guard's Blanket Purchase Agreement (BPA) solicitation for occupational health medical exams.

The Information Sheet requires vendors to provide company information including company name, small business designation (yes/no), CAGE code, and SAM UEI. Vendors must also include quote expiration date and point of contact information with email and phone number. This form is a mandatory submission requirement; offerors who fail to provide all required information with their quotes may be deemed nonresponsive. The quote deadline is October 19, 2026, by 11:00 a.m. Eastern Standard Time, with submission via email to katina.l.moore7.civ@army.mil. Along with the completed Information Sheet, vendors must submit signed Reps and Certs for FAR 52.219-1, proof of medical liability insurance, and a completed pricing schedule. Questions regarding the solicitation must be submitted in writing via email to the contract specialist by October 9, 2026.