S02 Sol R0036 AttB Contractor Info 578-25-003.docx

DOCX document 17 KB Posted

Attached to
Z1DA--578-25-003 Renovate Elevators B200 (Construction) at the Hines VA Hospital in Hines, IL
Solicitation number
36C25225R0036_3
Issued by

About this file

The document is a Contractor Information form for Solicitation #36C25225R0036, associated with Project 578-25-003 for renovating elevators in Building 200 at the Hines VA Hospital in Hines, Illinois. The form is designed to capture key contractor details, including spaces for the company name, signatory authorities, project manager, and site supervisor contact information. The solicitation is issued by the Department of Veterans Affairs Veterans Health Administration, specifically Veterans Integrated Service Network 12, seeking a contractor to complete elevator renovation work in a specific building at the VA hospital facility.

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Text version

CONTRACTOR INFORMATION

Solicitation #:36C25225R0036_________________
Project Number / Name:578-25-003 Renovate Elevators in Bldg 200
Name of Company:_______________________________
Signatory Authority(s):______________________________________________________________
_______________________________
Project Manager:_______________________________
Title:_______________________________
Company:_______________________________
E-Mail Address:_______________________________
Phone No:_______________________________
Site Supervisor:_______________________________
Title:_______________________________
Company:_______________________________
E-Mail Address:_______________________________
Phone No:_______________________________

Solicitation 36C25225R0036 Project 578-25-003 Renovate Elevators in Bldg 200 Attachment B.1 – Contractor Information Page 1 of 1

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