Pt 08A--Forms Divider.pdf

COMMUNITY-BASED MAY 2017

SOLICITATION FOR OFFERS OUTPATIENT CLINIC SFO No. VA101-15-R-0222

TRAVERSE CITY, MI

Part VIII -- Forms

Lessor __________ Gov’t. __________ __________ of __________ Pages

PART VIII

FORMS

PART VIII FORMS

PROPOSAL TO LEASE SPACE (FORM 1364A) (12/2004)

ATTACHMENT to GSA FORM 1364A (“Proposal Summary”) – (02/2016)

LESSOR’S ANNUAL COST STATEMENT (FORM 1217) (11/2016)

SOLICITATION PROVISIONS (FORM 3516) (04/2015)

GENERAL CLAUSES (FORM 3517B) (06/2016)

MODIFIED GENERAL CLAUSES - CASUALTY; REPAIR AND RESTORATION (--)

ADDENDUM TO THE SYSTEM FOR AWARD MANAGEMENT (SAM) REPRESENTATIONS AND

CERTIFICATIONS (GSA FORM 3518-SAM)

ARCHITECT-ENGINEER QUALIFICATIONS (SF 330) (03/2013)

CONTRACTOR’S QUALIFICATIONS AND FINANCIAL INFORMATION (FORM 527) (10/2015)

PAST PERFORMANCE SURVEY FORM (02/2016)

PAST PERFORMANCE REFERENCE CHECK QUESTIONAIRE (02/2016)

BID BOND (SF 24) (10/1998)

PAYMENT BOND (SF 25A) (08/2014)

PERFORMANCE BOND (SF25) (08/2014)

CERTIFICATE OF CURRENT COST OR PRICING DATA (--)

CERTIFICATE OF BUILDING ENERGY PERFORMANCE (--)

CERTIFICATE OF SEISMIC COMPLIANCE FORMS A-F (09/2012)

FIRE PROTECTION & LIFE SAFETY EVALUATION FOR A LOW-RISE BUILDING (GSA FORM

12000 (05/2015)

VA NATIONAL RULES OF BEHAVIOR (09/18/2007)

FAR CLAUSE 52.204-10 REPORTING EXECUTIVE COMPENSATION AND FIRST-TIER

SUBCONTRACT AWARDS (10/2016)

FAR CLAUSE 52.209-5 - CERTIFICATION REGARDING RESPONSIBILITY MATTERS (10/2015)

SF 3881 - ACH VENDOR/MISCELLANEOUS PAYMENT ENROLLMENT FORM (02/2003)

CONTRACTOR CONFIDENTIALITY CERTIFICATE (PHYSICAL SECURITY DESIGN

STANDARDS DATA DEFINITIONS)

OFFERING ENTITY ACKNOWLEDGEMENT FORM