S02 SOL-Att-02 Contractor General Info MATOC.pdf

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Attached to
Z1DA--Multiple Award Task Order Contract 695-23-109 Clement J. Zablocki VA Medical Center
Solicitation number
36C25223R0071
Issued by

About this file

This document is a contractor general information template for a Multiple Award Task Order Contract solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 12. The solicitation seeks contractors to provide various services at the Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin on an indefinite delivery/indefinite quantity basis. The template requests contact information from prospective contractors including company name, address, phone number, email, tax ID, and SAM UEI. It also requests the name and email of a past performance point of contact within the company.

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Text version

SOURCE SELECTION SENSITIVE 36C25223R0071 Attachment 2 FAR 2.101 and 3.104-5

Solicitation Attachment 2

CONTRACTOR GENERAL INFORMATION

Multiple Award Task Order Contract – Clement J. Zablocki VAMC, Milwaukee, WI

Name of Company:

Name:

Title:

Address:

E-Mail Address:

Phone No:

Fax No:

TAX ID Number:

SAM UEI:

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

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