Sources Sought Response Form 36C26123R0091.docx
DOCX document 21 KB Posted
- Attached to
- Z1DA -- 654-23-011 Isolation Room Mitigation
- Solicitation number
- 36C26123R0091
About this file
This document contains a sources sought information form and details of a related federal contract opportunity. The form requests contact and capability information from firms interested in providing isolation room mitigation services. It collects data on firm type, bonding capacity, and point of contact. The related solicitation is for isolation room mitigation services under opportunity number 36C26123R0091 from the Department of Veterans Affairs Veterans Health Administration VISN 21. Responses to the sources sought form will help the agency develop the forthcoming solicitation for the required isolation room mitigation work.
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Text version
SOURCES SOUGHT INFORMATION FORM
36C26123R0091 Isolation Room Mitigation
Firm Name: _________________________________________________________________________
Address: _________________________________________________________________
Name of POC for firm: ________________________________________________________________
Phone Number of POC: ____________________________________________
E-mail address of POC: ____________________________________________
Type of business:
|_| SBA certified 8(a) firm |_| SBA certified HUBZone |_| Service Disabled Veteran-Owned Small Business |_| Small Business |_| Other than Small Business
Bonding Capacity:
Surety Name: ___________N/A for Generator__________________________ Maximum bonding capacity per project: _______________________________ Aggregate maximum bonding capacity if firm is performing on more than one contract: _____________
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