UEI _ TAX ID.docx

This document contains a template for collecting vendor information related to a federal contract opportunity for renovating Building 200 at the James H. Quillen VAMC Mountain Home facility in Tennessee. The template requests the vendor's UEI number, federal tax ID number, point of contact information including name, email, and telephone.

The associated federal contract opportunity is solicitation number 36C24923R0030 to renovate the D Wing of Building 200 for an isolation ward. The opportunity is issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 9. The renovation work includes Project #621-20-107.