Appendix_L_01 - Offeror_Company_Information 20250812.docx
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- Solicitation number
- QNE--CFM-25-000011
About this file
Appendix L-01 is a company information form for a Department of Veterans Affairs (VA) Healthcare Design-Build and Construction Multiple Award Task Order Contract (MATOC). The document provides a template for offerors to submit key company details, including business size/designation (with options for Large, Small, SDVOSB), contact information for contracting and technical points of contact, banking and surety information, and socio-economic designations.
The associated federal contract opportunity is a special notice for a MATOC with both unrestricted and SDVOSB set-aside components, solicitation number QNE--CFM-25-000011. Two industry day events are scheduled: August 20, 2025, at the DBIA Federal Sector Design-Build Industry Days in Reston, VA, and a virtual event on September 4, 2025. A draft RFP will be available for industry feedback, with comments due by close of business on September 12, 2025.
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Text version
36C10F26R50003 Appendix L-01
OFFEROR COMPANY INFORMATION
Company Name:
Address:
CAGE Code:
Unique Entity Identifier (UEI):
Taxpayer Identification Number (TIN):
SAM.Gov Registration Expiration Date:
VetCert Certification Expiration Date (SDVOSB only):
Proposal Validity Statement:
| Teaming Arrangements |
| ☐ Yes ☐ No |
Contracting POC:
Name Email Phone Number
Technical POC:
Name
| Person(s) Authorized to Obligate the Company: |
| Name |
| Business Size/Designation: | |
| ☐ Large ☐ Small | ☐ SDVOSB |
If small, other socio-economic designation(s):
☐ SDB ☐ WOSB ☐ HUBZone ☐ 8(a) ☐ VOSB
| Banking Information: |
| Entity Name |
Address
POC
Email Address
| Surety Information: |
| Entity Name |
Address
POC
E-mail Address
Appendix L-01
File details come from the government source that posted it. Updated .