S02_ATTACHMENT 3_Proposal Data Sheet.docx

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Attached to
Z2DZ--Project Number 653-107, Seismic Retrofit of Building 11, Roseburg VAMC, Oregon
Solicitation number
36C10F26R0082
Issued by

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This is a Proposal Data Sheet template for a Design-Bid-Build construction solicitation (36C10F26R0082) for the seismic retrofit and renovation of Building 11 Laundry at Roseburg VA Medical Center in Oregon. The solicitation is issued by the Department of Veterans Affairs Office of Construction and Facilities Management as a single Firm-Fixed-Price (FFP) contract requiring a contractor to provide all planning, labor, materials, equipment, supervision, and expertise for the complete seismic retrofit of Building 11 Laundry in accordance with Project #653-107 plans and specifications and all applicable local, state, federal, and VA codes and standards.

The template requires offerors to submit the following information: firm name, address, phone, fax, and email; Unique Entity ID for CPARS access; and identification of authorized negotiators with their contact information and addresses. All proposals must be submitted electronically in Adobe PDF format via email to 003C4C.acquisitions@va.gov, with file naming conventions specified as 36C10F26R0082_COMPANY NAME_VOLUME I and VOLUME II (except for the Bid Bond). The solicitation is set aside for 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) competition, though any legally organized firm may submit a proposal. Joint venture submissions require the agreement forming the joint venture.

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Attachment 3

PROPOSAL DATA SHEET

36C10F26R0082

Design-Bid-Build Construction

Seismic Retrofit and Renovate B11 Laundry Roseburg VAMC, OR

1. Name of Firm: _________________________________________________ Address:______________________________________________________

Phone: ______________________________________________________ Fax:_________________________________________________________ E-mail:_______________________________________________________ Unique Entity ID (used for accessing CPARS):_______________________

2. AUTHORIZED NEGOTIATORS. FAR 52.215-11

The Offeror represents that the following persons are authorized to negotiate on its behalf with the Government in connection with this Request for Proposals (RFP).

Name of Person(s) Authorized to Negotiate: __________________________________ Negotiator’s Address: ____________________________________________________ Negotiator’s Telephone: __________________________________________________ Negotiator’s E-mail:______________________________________________________

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