Attachment_4_RFI_Form.docx

ATTACHMENT 4_RFI FORM

Information Technology (IT) Server Room Air Conditioner Replacement Hope Health Care Center (HHCC) Polacca, AZ Requisition IHS1247960

PROPOSAL REQUEST FOR INFORMATION (RFI) FORM

SOLICITATION: 15-247-SOL-00017,

NOTE: ALL PRE-PROPOSAL INQUIRIES SHALL BE SUBMITTED VIA EMAIL TO elizabeth.hubert@ihs.gov BY AN EDITABLE USE OF THIS FORM. Please identify, in numerical sequence, each set of inquiries that you send.

Question(s) is/are regarding the solicitation [ ] Question(s) is/are regarding the drawings, specifications, and technical data [ ]

Company Name and Offeror: ________________________________________________

From (person submitting question): _________________________________________________________

Date of Proposal Inquiry: __________________________________________

Phone Number: ___________________________

Proposal Inquiry: (Type inquiry below)

Proposal RFI #1 –

Proposal RFI #2 –

Proposal RFI #3 -

Add additional as necessary