S02 AttA Contractor Information 585-21-111 Nurse Call.pdf

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Attached to
Z1DA--585-21-111 Upgrade Nurse Call System at the Oscar G. Johnson VA Medical Center in Iron Mountain , MI
Solicitation number
36C25223B0013
Issued by

About this file

This document contains an attachment requesting contractor information for solicitation number 36C25223B0013. The solicitation is for an upgrade to the nurse call system at the Oscar G. Johnson VA Medical Center in Iron Mountain, Michigan. The attachment requests contact information and tax identification details from potential contractors, including company name, address, primary point of contact, email address, and unique ID numbers. It also provides space for contractors to list additional points of contact within their organization.

The related federal contract opportunity is for solicitation 36C25223B0013 to upgrade the nurse call system at the specified VA medical center. The contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12.

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Text version

SOL 36C252230013, ATTACHMENT A

Project 585-21-111 Upgrade Nurse Call System Page 1 of 1

CONTRACTOR INFORMATION

Project: 585-21-111 Upgrade Nurse Call System

Name of Company: ___________________________________________

Address: ___________________________________________

City, State, Zip Code: ___________________________________________

Name(s) and Title of Company 1.) ________________________________________

Legal Binding Authority(s) 2.) ________________________________________

3.) _______________________________________

4.) _______________________________________

Primary Point of Contact: ___________________________________________

E-Mail Address: ___________________________________________

Address: ___________________________________________

City, State, Zip Code: ___________________________________________

Phone No: ___________________________________________

Fax No: ___________________________________________

TAX ID Number: ___________________________________________

UID Number: ___________________________________________

(this is different than the Dun & Bradstreet Number)

Point of Contact(s) (within your company), include name and email address:

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