14-Offerors_Points_of_Contact.pdf

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Attached to
Chemistry, Manufacturing and Controls and Related Services for Development of Drug Substances
Solicitation number
75N95024R00094
Issued by

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This document is a form titled "Offeror's Points of Contact" that is part of a solicitation for Chemistry, Manufacturing and Controls (CMC) and related services to support the development of drug substances. The form requests the business representative and proposed principal investigator contact information, including name, title, address, telephone, fax, and email. The related federal contract opportunity is Solicitation Number 75N95024R00094, issued by the Department of Health and Human Services National Institutes of Health National Institute on Drug Abuse. The objective of the CMC services is to ensure receipt of drug substances of sufficient quality and quantity to support preclinical and IND-enabling studies.

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OFFEROR’S POINTS OF CONTACT

Complete the following and return with the BUSINESS PROPOSAL.

Business Representative (Name, Title, Address* and Contact Information of individual with whom daily contact is required.)

Name: Telephone:

Title: Fax:

Office: E-Mail:

Organization:

*Street Address:

City, State, Zip Code:

Proposed Principal Investigator (Name, Institutional Title, Address, and Contact Information)

Name: Telephone:

Title: Fax:

Office: E-Mail:

Organization:

*Street Address:

City, State, Zip Code:

These exact addresses are necessary to ensure that contact can be made with the proper individual(s) in the most expeditious manner.

*Please use actual street address, not P.O. Box.

Offeror’s Points of Contact Page 1 of 1 (1/2011)

Attachment 14

Name:
Telephone:
Title:
Fax:
Office:
EMail:
Organization:
Street Address:
City State Zip Code:
Name_2:
Telephone_2:
Title_2:
Fax_2:
Office_2:
EMail_2:
Organization_2:
Street Address_2:
City State Zip Code_2:

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