HomeMy Public PortalAboutRepresentations and certificationsREPRESENTATIONS AND CERTIFICATIONS
(Acquisition of Leasehold Interests in Real Property)
Solicitation Number
Dated
Complete appropriate boxes, sign the form, and attach to offer.
The Offeror makes the following Representations and Certifications. NOTE: The "Offeror," as used on
this form, is the owner of the property offered, not an individual or agent representing the owner.
1. 52.219-1 - SMALL BUSINESS PROGRAM REPRESENTATIONS (MAY 2004)
(a)
(1) The North American Industry Classification System (NAICS) code for this acquisition is
531190.
(2) The small business size standard is $19.0 Million in annual average gross revenue of
the concern for the last 3 fiscal years.
The small business size standard for a concem which submits an offer in its own name,
other than on a construction or service contract, but which proposes to fumish a product
which it did not itself manufacture, is 500 employees.
(3)
(b) Representations.
(1) The Offeror represents as part of its offer that it [ ] is, [ ] is not a small business
concern.
INITIALS:
(2) [Complete only if the Offeror represented itself as a small business concern in
paragraph (b)(1) of this provision.] The Offeror represents, for general statistical
purposes, that it [ ] is, [ ] is not, a small disadvantaged business concem as defined in
13 CFR 124.1002.
(3) [Complete only if the Offeror represented itself as a small business concern in
paragraph (b)(1) of this provision.] The Offeror represents as part of its offer that it [ ] is,
[ ] is not a women -owned small business concern.
(4) [Complete only if the Offeror represented itself as a small business concern in
paragraph (b)(1) of this provision.] The Offeror represents as part of its offer that it [ ] is,
[ ] is not a veteran -owned small business concern.
[Complete only if the Offeror represented itself as a veteran -owned small business
concem in paragraph (b)(4) of this provision.] The Offeror represents as part of its offer
that it [ ] is, [ ] is not a service -disabled veteran -owned small business concern.
(6) [Complete only if the Offeror represented itself as a small business concern in
paragraph (b)(1) of this provision.] The Offeror represents, as part of its offer, that—
(i) It [ ] is, [ ] is not a HUBZone small business concern listed, on the date of this
representation, on the List of Qualified HUBZone Small Business Concems
maintained by the Small Business Administration, and no material change in
ownership and control, principal office, or HUBZone employee percentage has
occurred since it was certified by the Small Business Administration in
accordance with 13 CFR part 126; and
(ii) It [ ] is, [ ] is not a joint venture that complies with the requirements of 13 CFR
part 126, and the representation in paragraph (b)(6)(i) of this provision is accurate
for the HUBZone small business concern or concerns that are participating in the
joint venture. [The Offeror shall enter the name or names of the HUBZone small
business concern or concems that are participating in the joint
venture: .] Each HUBZone small business concern
participating in the joint venture shall submit a separate signed copy of the
HUBZone representation.
(5)
8
LESSOR GOVERNMENT GSA FORM 3518 PAGE 1 (REV 1/07)
(c) Definitions. As used in this provision —
"Service -disabled veteran -owned small business concern"—
(1) Means a small business concern—
(i) Not less than 51 percent of which is owned by one or more service -disabled
veterans or, in the case of any publicly owned business, not less than 51 percent
of the stock of which is owned by one or more service -disabled veterans; and
(ii) The management and daily business operations of which are controlled by one or
more service -disabled veterans or, in the case of a veteran with permanent and
severe disability, the spouse or permanent caregiver of such veteran.
(2) Service -disabled veteran means a veteran, as defined in 38 U.S.C. 101(2), with a
disability that is service -connected, as defined in 38 U.S.C. 101(16).
"Small business concern" means a concern, including its affiliates, that is independently
owned and operated, not dominant in the field of operation in which it is bidding on
Government contracts, and qualified as a small business under the criteria in 13 CFR part
121 and the size standard in paragraph (a) of this provision.
"Veteran -owned small business concern" means a small business concern—
(1) Not Tess than 51 percent of which is owned by one or more veterans (as defined at
38 U.S.C. 101(2)) or, in the case of any publicly owned business, not less than 51
percent of the stock of which is owned by one or more veterans; and
(2) The management and daily business operations of which are controlled by one or more
veterans.
"Women -owned small business concern" means a small business concern—
(1) That is at least 51 percent owned by one or more women; or, in the case of any publicly
owned business, at least 51 percent of the stock of which is owned by one or more
women; and
(2) Whose management and daily business operations are controlled by one or more
women.
(d) Notice.
(1) If this solicitation is for supplies and has been set aside, in whole or in part, for small
business concerns, then the clause in this solicitation providing notice of the set -aside
contains restrictions on the source of the end items to be furnished.
(2) Under 15 U.S.C. 645(d), any person who misrepresents a firm's status as a small,
HUBZone small, small disadvantaged, or women -owned small business concern in
order to obtain a contract to be awarded under the preference programs established
pursuant to section 8(a), 8(d), 9, or 15 of the Small Business Act or any other provision
of Federal law that specifically references section 8(d) for a definition of program
eligibility, shall-
(i) Be punished by imposition of fine, imprisonment, or both;
(ii) Be subject to administrative remedies, including suspension and debarment; and
(iii) Be ineligible for participation in programs conducted under the authority of the
Act.
2. 52.204-5 - WOMEN -OWNED BUSINESS (OTHER THAN SMALL BUSINESS) (MAY 1999)
(a) Definition. "Women -owned business concern," as used in this provision, means a concern
which is at least 51 percent owned by one or more women; or in the case of any publicly
owned business, at least 51 percent of its stock is owned by one or more women; and
whose management and daily business operations are controlled by one or more women.
(b) Representation. [Complete only if the Offeror is a women -owned business concern and has
not represented itself as a small business concern in paragraph (b)(1) of FAR 52.219-1,
Small Business Program Representations, of this solicitation.] The Offeror represents that it
[ ] is a women -owned business concern.
INITIALS:
LESSOR
GOVERNMENT GSA FORM 3518 PAGE 2 (REV 1/07)
3. 52.222-22 - PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999)
(Applicable to leases over $10,000.)
The Offeror represents that —
(a) It [ ] has, [ ] has not participated in a previous contract or subcontract subject to the Equal
Opportunity clause of this solicitation;
(b) It [ ] has, [ ] has not filed all required compliance reports; and
(c) Representations indicating submission of required compliance reports, signed by proposed
subcontractors, will be obtained before subcontract awards. (Approved by OMB under
Control Number 1215-0072.)
4. 52.222-25 - AFFIRMATIVE ACTION COMPLIANCE (APR 1984)
(Applicable to leases over $10,000 and which include the clause at FAR 52.222-26, Equal
Opportunity.)
The Offeror represents that —
(a) It [ ] has developed and has on file, [ ] has not developed and does not have on file, at
each establishment affirmative action programs required by the rules and regulations of the
Secretary of Labor (41 CFR 60-1 and 60-2), or
(b) It [ ] has not previously had contracts subject to the written affirmative action programs
requirement of the rules and regulations of the Secretary of Labor. (Approved by OMB
under Control Number 1215-0072.)
5. 52.203-02 - CERTIFICATE OF INDEPENDENT PRICE DETERMINATION (APR 1985)
(Applicable to leases over $100,000 average net annual rental, including option periods.)
(a) The Offeror certifies that—
(1) The prices in this offer have been arrived at independently, without, for the purpose of
restricting competition, any consultation, communication, or agreement with any other
Offeror or competitor relating to (i) those prices, (ii) the intention to submit an offer, or (iii)
the methods or factors used to calculate the prices offered;
(2) The prices in this offer have not been and will not be knowingly disclosed by the Offeror,
directly or indirectly, to any other Offeror or competitor before bid opening (in the case of
a sealed bid solicitation) or contract award (in the case of a negotiated solicitation)
unless otherwise required by law; and
No attempt has been made or will be made by the Offeror to induce any other concern
to submit or not to submit an offer for the purpose of restricting competition.
(b) Each signature on the offer is considered to be a certification by the signatory that the
signatory—
(1) Is the person in the Offerors organization responsible for determining the prices being
offered in this bid or proposal, and that the signatory has not participated and will not
participate in any action contrary to subparagraphs (a)(1) through (a)(3) above; or
(2) (i) Has been authorized, in writing, to act as agent for the following principals in
certifying that those principals have not participated, and will not participate in any
action contrary to subparagraphs (a)(1) through (a)(3) above
[Insert full
name of person(s) in the Offeror's organization responsible for determining the
prices offered in this bid or proposal, and the title of his or her position in the
Offeror's organization];
(3)
LESSOR
GOVERNMENT GSA FORM 3518 PAGE 3 (REV 1/07)
(ii) As an authorized agent, does certify that the principals named in subdivision
(b)(2)(i) above have not participated, and will not participate, in any action
contrary to subparagraphs (a)(1) through (a)(3) above; and
(iii) As an agent, has not personally participated, and will not participate, in action
contrary to subparagraphs (a)(1) through (a)(3) above.
(c) If the Offeror deletes or modifies subparagraph (a)(2) above, the Offeror must furnish with its
offer a signed statement setting forth in detail the circumstances of the disclosure.
6. 52.203-11 - CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE
CERTAIN FEDERAL TRANSACTIONS (SEP 2005)
(Applicable to leases over $100,000.)
(a) The definitions and prohibitions contained in the clause, at FAR 52.203-12, Limitation on
Payments to Influence Certain Federal Transactions, included in this solicitation, are hereby
incorporated by reference in paragraph (b) of this certification.
(b) The Offeror, by signing its offer, hereby certifies to the best of his or her knowledge and
belief that on or after December 23, 1989, —
(1) No Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of
Congress on his or her behalf in connection with the awarding of a contract;
(2) If any funds other than Federal appropriated funds (including profit or fee received under
a covered Federal transaction) have been paid, or will be paid, to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of
Congress on his or her behalf in connection with this solicitation, the Offeror shall
complete and submit, with its offer, OMB standard form LLL, Disclosure of Lobbying
Activities, to the Contracting Officer; and
(3) He or she will include the language of this certification in all subcontract awards at any
tier and require that all recipients of subcontract awards in excess of $100,000 shall
certify and disclose accordingly.
(c) Submission of this certification and disclosure is a prerequisite for making or entering into
this contract imposed by section 1352, title 31, United States Code. Any person who makes
an expenditure prohibited under this provision or who fails to file or amend the disclosure
form to be filed or amended by this provision, shall be subject to a civil penalty of not less
than $10,000, and not more than $100,000, for each such failure.
7. 52.209-5 - CERTIFICATION REGARDING DEBARMENT, SUSPENSION, PROPOSED
DEBARMENT, AND OTHER RESPONSIBILITY MATTERS (DEC 2001)
(Applicable to leases over $100,000 average net annual rental, including option periods.)
(a) (1) The Offeror certifies, to the best of its knowledge and belief, that —
(I)
INITIALS:
LSOR
The Offeror and/or any of its Principals —
(A) Are [ ] are not [ ] presently debarred, suspended, proposed for
debarment, or declared ineligible for the award of contracts by any
Federal agency;
(B) Have [ ] have not [ ], within a three-year period preceding this offer,
been convicted of or had a civil judgment rendered against them for:
commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (Federal, state, or local)
contract or subcontract; violation of Federal or state antitrust statutes
relating to the submission of offers; or commission of embezzlement,
theft, forgery, bribery, falsification or destruction of records, making false
statements, tax evasion, or receiving stolen property; and
GOVERNMENT GSA FORM 3518 PAGE 4 (REV 1/07)
(C) Are [ ] are not [ ] presently indicted for, or otherwise criminally or civilly
charged by a governmental entity with, commission of any of the
offenses enumerated in paragraph (a)(1)(i)(B) of this provision.
(ii) The Offeror has [ ] has not [ ], within a three-year period preceding this offer,
had one or more contracts terminated for default by any Federal agency.
(2) "Principals," for the purposes of this certification, means officers; directors; owners;
partners; and, persons having primary management or supervisory responsibilities
within a business entity (e.g., general manager; plant manager; head of a subsidiary,
division, or business segment, and similar positions).
This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United
States and the Making of a False, Fictitious, or Fraudulent Certification May Render the
Maker Subject to Prosecution Under Section 1001, Title 18, United States Code.
(b) The Offeror shall provide immediate written notice to the Contracting Officer if, at any time
prior to contract award, the Offeror learns that its certification was erroneous when
submitted or has become erroneous by reason of changed circumstances.
(c) A certification that any of the items in paragraph (a) of this provision exists will not
necessarily result in withholding of an award under this solicitation. However, the
certification will be considered in connection with a determination of the Offeror's
responsibility. Failure of the Offeror to furnish a certification or provide such additional
information as requested by the Contracting Officer may render the Offeror nonresponsible.
(d) Nothing contained in the foregoing shall be construed to require establishment of a system
of records in order to render, in good faith, the certification required by paragraph (a) of this
provision. The knowledge and information of an Offeror is not required to exceed that which
is normally possessed by a prudent person in the ordinary course of business dealings.
(e) The certification in paragraph (a) of this provision is a material representation of fact upon
which reliance was placed when making award. If it is later determined that the Offeror
knowingly rendered an erroneous certification, in addition to other remedies available to the
Government, the Contracting Officer may terminate the contract resulting from this
solicitation for default.
8. 52.204-3 - TAXPAYER IDENTIFICATION (OCT 1998)
(a) Definitions.
"Common parent," as used in this provision, means that corporate entity that owns or
controls an affiliated group of corporations that files its Federal income tax returns on a
consolidated basis, and of which the Offeror is a member.
"Taxpayer Identification Number (TIN)," as used in this provision, means the number
required by the Internal Revenue Service (IRS) to be used by the Offeror in reporting income
tax and other returns. The TIN may be either a Social Security Number or an Employer
Identification Number.
(b) All Offerors must submit the information required in paragraphs (d) through (f) of this
provision to comply with debt collection requirements of 31 U.S.C. 7701(c) and 3325(d),
reporting requirements of 26 U.S.C. 6041, 6041A, and 6050M, and implementing regulations
issued by the IRS. If the resulting contract is subject to the payment reporting requirements
described in Federal Acquisition Regulation (FAR) 4.904, the failure or refusal by the Offeror
to furnish the information may result in a 31 percent reduction of payments otherwise due
under the contract.
(c) The TIN may be used by the Government to collect and report on any delinquent amounts
arising out of the Offeror's relationship with the Government (31 U.S.C. 7701(c)(3)). If the
resulting contract is subject to the payment reporting requirements described in FAR 4.904,
the TIN provided hereunder may be matched with IRS records to verify the accuracy of the
Offeror's TIN.
INITIALS: t�
LESSOR GOVERNMENT GSA FORM 3518 PAGE 5 (REV 1/07)
4;
(d) Taxpayer Identification Number (TIN).
TIN: g 2 (000623
TIN has been applied for.
TIN is not required because:
Offeror is a nonresident alien, foreign corporation, or foreign partnership that does not
have income effectively connected with the conduct of a trade or business in the
United States and does not have an office or place of business or a fiscal paying
agent in the United States;
Offeror is an agency or instrumentality of a foreign government;
Offeror is an agency or instrumentality of the Federal government;
[]
[]
[]
(e) Type of organization.
[ ] Sole proprietorship;
[ ] Partnership;
[ ] Corporate entity (not tax-exempt);
[ ] Corporate entity (tax-exempt);
(f) Common Parent.
J]
[]
Name
TIN
[•ii Government entity (Federal, State, or local);
[ ] Foreign government;
[ ] International organization per 26 CFR 1.6049-
[ ] Other
Offeror is not owned or controlled by a common parent as defined in paragraph (a) of
this provision.
Name and TIN of common parent:
9. 52.204-6 — Data Universal Numbering System (DUNS) Number (OCT 2003)
(a) The Offeror shall enter, in the block with its name and address on the cover page of its offer,
the annotation "DUNS" or "DUNS+4" followed by the DUNS number or "DUNS+4" that
identifies the Offeror's name and address exactly as stated in the offer. The DLINS number
is a nine -digit number assigned by Dun and Bradstreet, Inc. The DUNS+4 is the DUNS
number plus a 4-character suffix that may be assigned at the discretion of the Offeror to
establish additional CCR records for identifying alternative Electronic Funds Transfer (EFT)
accounts (see Subpart 32.11) for the same parent concern.
(b) If the Offeror does not have a DLINS number, it should contact Dun and Bradstreet directly
to obtain one.
(1) An Offeror may obtain a DLINS number—
(i) If located within the United States, by calling Dun and Bradstreet at 1-866-705-
5711 or via the Internet at http://www.dnb.com; or
(ii) If located outside the United States, by contacting the local Dun and Bradstreet
office.
(2) The Offeror should be prepared to provide the following information:
(i) Company legal business name.
(ii) Tradestyle, doing business, or other name by which your entity is commonly
recognized.
Company physical street address, city, state and zip code.
Company mailing address, city, state and zip code (if separate from physical).
Company telephone number.
Date the company was started.
Number of employees at your location.
Chief executive officer/key manager.
Line of business (industry).
Company Headquarters name and address (reporting relationship within your
entity).
INITIALS:
LESSOR
GOVERNMENT GSA FORM 3518 PAGE 6 (REV 1/07)
10. DUNS NUMBER (JUN 2004)
Notwithstanding the above instructions, in addition to inserting the DUNS Number on the offer
cover page, the Offeror shall also provide its DUNS Number as part of this submission:
DUNS #
11. CENTRAL CONTRACTOR REGISTRATION (JAN 2007)
The Central Contractor Registration (CCR) System is a centrally located, searchable database
which assists in the development, maintenance, and provision of sources for future procurements.
The Offeror must be registered in the CCR prior to lease award. The Offeror shall register via the
Internet at httD://www.ccr.aov. To remain active, the Offeror/Lessor is required to update or renew
its registration annually.
[4 Registration Active and Copy Attached
[ ] Will Activate Registration and Submit Copy to the Government Prior to Award
OFFEROR OR
AUTHORIZED
REPRESENTATIVE
NAME, ADDRESS (INCLUDING ZIP CODE)
NAME bona la 2 • t3ci 'flakier
STREET �( Park 54
CITY. STATE, ZIP ftle(,. V e33(o33.z
TELEPHONE NUMBER
.0g-4 -71C/2
Date s/
INITIALS:' 8
LESSOR GOVERNMENT GSA FORM 3518 PAGE 7 (REV 1/07)
View Registration Page 1 of 5
CCR Registration
Not to be used as certifications and representations. See ORCA for official certification.
Registration Status: Active in CCR; Registration valid until 06/20/2012.
DUNS: 188922611
DUNS PLUS4:
CAGE/NCAGE: 3K5M9
Legal Business Name: MCCALL, CITY OF
Doing Business As (DBA):
TIN/EIN: 826000223
SSN:
Division Name:
Division Number:
Company URL:
Physical Street Address 1: 216 E PARK ST
Physical Street Address 2:
Physical City: MCCALL
Physical State: ID
Physical Foreign Province:
Physical Zip/Postal Code: 83638-3832
Physical Country: USA
Mailing Name: MCCALL, CITY OF
Mailing Street Address 1: 216 E PARK ST
Mailing Street Address 2:
Mailing City: MCCALL
Mailing State: ID
Mailing Foreign Province:
Mailing Zip/Postal Code: 83638-3832
Mailing Country: USA
Business Start Date: 07/19/1911
Delinquent Federal Debt: No
Fiscal Year End Date: 09/30
Number of Employees for This Location:
Number of Employees for All Affiliates: 70
Annual Receipts for This Location:
Annual Receipts for All Affiliates: $16,249,317
Company Security Level: 90
Highest Employee Security Level:
DUN & BRADSTREET LINKAGE
https: //www.bpn. gov/ccrauth/pro file/RegistrationV iew. aspx?dun... 6/29/2011
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This information comes from Dun & Bradstreet and is not editable by CCR users.
You may contact D&B Customer Service at 1-866-705-5711 (U.S. only) or aovtadnb.com (US
and International) to verify your company name, physical address, or parent information in
their system.
DUNS: 188922611
Linkage Info Date: 10/15/2010
Headquarters Parent POC
DUNS: 188922611
Name: CITY OF MCCALL
Address: 216 E PARK ST
City: MCCALL
State: ID
Zip/Postal Code: 83638-3832
Country: USA
Phone:
Domestic Ultimate POC
DUNS: 188922611
Name: CITY OF MCCALL
Address: 216 E PARK ST
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638-3832
Country: USA
U.S. Government Entity
Global Ultimate POC
DUNS: 188922611
Name: CITY OF MCCALL
Address: 216 E PARK ST
City: MCCALL
State: ID
Zip/Postal Code: 83638-3832
Country: USA
CORPORATE INFORMATION
Type of Organization
Business Types/Grants
12 - U.S. Local Government
V2 - Grants
C8 - City
DISASTER RESPONSE INFORMATION
Bonding Levels
Construction Bonding Level, Per Contract
(dollars):
Construction Bonding Level, Aggregate
(dollars):
Service Bonding Level, Per Contract (dollars):
Service Bonding Level, Aggregate (dollars):
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Page 3 of 5
Geographic Areas Served
No geographic areas specified
GOODS / SERVICES
North American Industry Classification System (NAICS)
921110 - Executive Offices
Product Service Codes (PSC)
Federal Supply Classification (FSC)
SMALL BUSINESS TYPES
SDB, 8A and HubZone certifications come from the Small Business Administration and are not editable by
CCR vendors.
Business Types Expiration Date
North American Industry Classification System (NAICS)
The small business size status is derived from the receipts, number of employees, assets, barrels of oil,
and/or megawatt hours entered by the vendor during the registration process.
NAICS
Code
921110 Executive Offices
Description Small
Business
No
Emerging Small
Business
No
FINANCIAL INFORMATION
Electronic Funds Transfer (EFT) Automated Clearing House (ACH)
Financial US BANK NA
Institution:
ABA Routing 123103729
Number:
Account Number: 153300592943
Account Type: Checking
Lockbox Number:
Authorization 06/20/2011
Date:
Remittance Information
Name: MCCALL, CITY OF
Address Line 1: 216 EAST PARK STREET
Address Line 2:
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638-3832
Country: USA
U.S. Phone: 877-383-7272
Non-U.S. Phone:
Fax:
Email Address:
Accounts Receivable POC
Name: ACTING TREASURER
Email Address: Istokes@mccall.id.us
U.S. Phone: 208-634-2103
Non-U.S. Phone:
Fax: 208-634-4493
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Page 4 of 5
Accepts credit cards as a method of payment: No
CCR POINTS OF CONTACT
CCR Primary POC (Registrant Name)
Name: LINDLEY KIRKPATRICK
Email Address: Ikirkpatrick@mccall.id.us
U.S. Phone: 208-634-1003
Non-U.S. Phone:
Fax: 208-634-3038
Government
Name:
Email Address:
Address Line 1:
Address Line 2:
City:
State:
Foreign Province:
Zip/Postal Code:
Country:
U.S. Phone:
Non-U.S. Phone:
Fax:
Business Primary POC
LINDLEY KIRKPATRICK
Ikirkpatrick@rccall.id.us
216 E. PARK STREET
MCCALL
ID
83638-3832
USA
208-634-1003
208-634-3038
Past Performance Primary POC
Name: LINDLEY KIRKPATRICK
Email Address: Ikirkpatrick@mccall.id.us
Address Line 1: 216 E. PARK STREET
Address Line 2:
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638
Country: USA
U.S. Phone: 208-634-1003
Non-U.S. Phone:
Fax: 208-634-3038
Electronic Business Primary POC
Name: LINDLEY KIRKPATRICK
Email Address: Ikirkpatrick@mccall.id.us
Address Line 1: 216 EAST PARK STREET
Address Line 2:
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638-3832
CCR Alternate POC
Name: LINDA STOKES
Email Address: Istokes@mccall.id.us
U.S. Phone: 208-634-2103
Non-U.S. Phone:
Fax: 208-634-4493
Government Business Alternate POC
Name: LINDA STOKES
Email Address: Istokes@mccall.id.us
Address Line 1: 216 E. PARK STREET
Address Line 2:
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638
Country: USA
U.S. Phone: 208-634-2103
Non-U.S. Phone:
Fax: 208-634-4493
Past Performance Alternate POC
Name: LINDA STOKES
Email Address: Istokes@mccall.id.us
Address Line 1: 216 E. PARK STREET
Address Line 2:
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638
Country: USA
U.S. Phone: 208-634-2103
Non-U.S. Phone:
Fax: 208-634-3038
Electronic Business Alternate POC
Name: LINDA STOKES
Email Address: Istokes@mccall.id.us
Address Line 1: 216 EAST PARK STREET
Address Line 2:
City: MCCALL
State: ID
Foreign Province:
Zip/Postal Code: 83638-3832
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Country: USA
U.S. Phone: 208-634-1003
Non-U.S. Phone:
Fax: 208-634-3038
Country: USA
U.S. Phone: 208-634-2103
Non-U.S. Phone:
Fax: 208-634-4093
Previous Business Name Government Parent
Name: Name:
Address Line 1: Address Line 1:
Address Line 2: Address Line 2:
City: City:
State: State:
Foreign Province: Foreign Province:
Zip/Postal Code: Zip/Postal Code:
Country: Country:
Corporate POC
Name:
Email Address:
U.S. Phone:
Non-U.S. Phone:
Fax:
EDI
Value Added Network:
Interchange ID (ISA) Qualifier:
Interchange Sender ID (ISA) Qualifier:
Functional Group (GS02) Identifier:
Marketing Partner Identification Number
(MPIN)
MPIN: mcal11911
EDI POC
Name:
Email Address:
U.S. Phone:
Non-U.S. Phone:
Fax
Receive Remittance Advice Notices (820's) through their VAN provider: ---
https://www.bpn.gov/ccrauth/profile/RegistrationView.aspx?dun... 6/29/2011